Long-term results of suprapubic bladder neck closure for treatment of the devastated outlet

• Published in: Urology (Ridgewood, N.J.) Vol. 66; no. 2; pp. 311 - 315
• Main Authors: O’Connor, R.C., Stapp, E.C., Donnellan, S.M., Hovey, R.M., Tse, V.W.M., Stone, A.R.
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.08.2005; Elsevier Science
• Subjects: Adolescent; Adult; Aged; Biological and medical sciences; Female; Follow-Up Studies; Humans; Male; Medical sciences; Middle Aged; Nephrology. Urinary tract diseases; Time Factors; Urinary Bladder - surgery; Urinary Incontinence - etiology; Urinary Incontinence - surgery; Nephrology; Bladder neck; Treatment; Closure; Long term; Urology
• ISSN: 0090-4295; 1527-9995
• DOI: 10.1016/j.urology.2005.03.009

To assess the long-term success of suprapubic bladder neck closure in patients with irreparably damaged bladder outlets. A cohort of 35 patients with intractable urinary incontinence secondary to severe posterior urethral/bladder neck damage underwent suprapubic bladder neck closure. Patients were assessed with regard to the success of procedure, as well as early and late complications. With a mean follow-up of 79 months (range 12 to 164), suprapubic bladder neck closure was successful in 29 (83%) of 35 patients. One revision of the bladder neck improved the success rate to 94% (33 of 35). Early and late complications, excluding bladder neck fistula, were reported in 3 (9%) and 5 (14%) of 35 patients, respectively. High success and acceptable complication rates can be achieved with suprapubic bladder neck closure for the treatment of severe urinary incontinence secondary to a devastated bladder outlet.