title: Female bladder neck reconstruction. Anatomic and physiologic approach.
abstract: Postoperative scarring of the bladder neck and urethra after failed anti-incontinence surgery in the female can seriously disrupt the normal mechanisms of bladder storage and emptying. We have analyzed and treated this problem in 10 selected female patients. A "wrap-flap" technique with omental support has been applied to reconstitute the normal anatomy and physiology of the bladder neck. Excellent results were obtained in all patients, with up to fifty-four months of follow-up. We recommend this procedure prior to the implantation of prosthetic material, with its inherent difficulties.
mesh_terms: D005260:Female; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D009130:Muscle, Smooth / Q000601:surgery; D009852:Omentum / Q000601:surgery; D013524:Surgical Flaps; D014521:Urethra / Q000601:surgery; D001743:Urinary Bladder / Q000601:surgery*; D014549:Urinary Incontinence / Q000601:surgery*