Bladder-outlet reconstruction in neurogenic bladder due to myelomeningocele.

Abstract

In a subgroup of children with myelomeningocele, urinary incontinence cannot be managed by clean intermittent catheterization and anticholinergic medication. The authors report on 24 such children who required bladder-outlet reconstruction. Twelve boys underwent the Young-Dees/Leadbetter procedure, 8 girls underwent the Burch procedure and the remaining 4 had a combination of the two. Augmentation cystoplasty was also carried out in seven girls and one boy. Results were most favourable in the girls, with improvement in 92%, in contrast to the boys in whom only 58% were improved. Artificial sphincter placement may be a more beneficial alternative for boys.

• Authors: H W Johnson, P F Weckworth, G U Coleman, W J Arnold, B J Sawatzky, P J Moloney, D Stewart
• Journal: Canadian journal of surgery. Journal canadien de chirurgie (Can J Surg) Vol. 31 Issue 1 Pg. 22-4 (Jan 1988) ISSN: 0008-428X [Print] Canada
• PMID: 3337968 (Publication Type: Comparative Study, Journal Article)

Topics

• Adolescent
• Child
• Child, Preschool
• Female
• Humans
• Male
• Meningomyelocele (complications)
• Methods
• Urinary Bladder (surgery)
• Urinary Bladder, Neurogenic (surgery)
• Urinary Incontinence (surgery)