Use of the anterior detrusor tube in managing urogenital sinus anomalies.
An anterior detrusor tube bladder neck reconstruction was performed in 8 girls with urogenital sinus anomalies during a 15-year period. A good or excellent result was achieved in 63 per cent of the patients. The surgical technique entails the creation of a long anteriorly based detrusor tube (6 to 7 cm.) tunneled subsymphyseal to the introitus, which provides access for clean intermittent catheterization. Augmentation cystoplasty, which was incorporated into the reconstruction in 1 case, may enhance further the success rates with this approach.
Diamond
D A
DA
Division of Urology, University of Massachusetts Medical Center, Worcester.
Ransley
P G
PG
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D001743:Urinary Bladder / Q000601:surgery*; D014546:Urinary Catheterization; D014549:Urinary Incontinence / Q000196:embryology / Q000601:surgery; D014564:Urogenital Abnormalities; D014566:Urogenital System / Q000601:surgery