title: Combined bladder augmentation and bladder neck suspension for neuropathic incontinence in girls.
abstract: We treated five girls with congenital neuropathic bladder, who had genuine stress incontinence combined with reduced detrusor compliance and/or detrusor hyperreflexia, by simultaneous Marshall-Marchetti-Krantz bladder-neck suspension and bladder augmentation using a sigmoid or ileocecal pouch. All are dry on 3 to 4 hourly intermittent self-catheterization and we suggest that this method represents a useful and much cheaper alternative to the artificial urinary sphincter.
authors: Department of Paediatric Urology, Royal Liverpool Children's Hospital, England.
authors: M P
authors: MP
authors: Williams
authors: Z
authors: Z
authors: Katz
authors: A M
authors: AM
authors: Rickwood
mesh_terms: D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008722:Methods; D001743:Urinary Bladder / Q000601:surgery*; D001750:Urinary Bladder, Neurogenic / Q000151:congenital* / Q000601:surgery; D014550:Urinary Incontinence, Stress / Q000601:surgery*