Fascial sling to correct male neurogenic sphincter incompetence: the McGuire/Raz approach

We report the surgical approach used in 4 male myelomeningocele patients suffering from severe urinary incontinence owing to poor bladder compliance and sphincter incompetence. While bladder compliance was corrected by enlargement cystoplasty the sphincteric incompetence was treated by an autologous...

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Bibliographic Details
Published inThe Journal of urology Vol. 139; no. 3; p. 528
Main Authors Raz, S, McGuire, E J, Ehrlich, R M, Zeidman, E J, Wang, S C, Alarcon, A, Schmidtbauer, C, McLaughlin, S
Format Journal Article
LanguageEnglish
Published United States 01.03.1988
Subjects
Adolescent
Adult
Child
Fascia - transplantation
Humans
Male
Meningomyelocele - complications
Methods
Radiography
Urinary Bladder - diagnostic imaging
Urinary Bladder - surgery
Urinary Bladder, Neurogenic - diagnostic imaging
Urinary Bladder, Neurogenic - etiology
Urinary Bladder, Neurogenic - surgery
Urinary Incontinence - etiology
Urinary Incontinence - surgery
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Summary:We report the surgical approach used in 4 male myelomeningocele patients suffering from severe urinary incontinence owing to poor bladder compliance and sphincter incompetence. While bladder compliance was corrected by enlargement cystoplasty the sphincteric incompetence was treated by an autologous fascial sling around the bladder neck with excellent results. We consider this operation as an alternative to the artificial urinary sphincter in cases of male neurogenic sphincter incontinence.
ISSN:0022-5347
DOI:10.1016/S0022-5347(17)42511-0