Urinary undiversion after implantation of an alloplastic urethral sling for male continence.
A man in whom urinary diversion (colon conduit) was performed after 2 unsuccessful implantations of artificial urethral sphincters for treatment of iatrogenic incontinence became continent again after implantation of an alloplastic sling. Three months later the patient underwent urinary undiversion with augmentation cystoplasty. After 3 years ureteroneocystostomy was necessary due to distal ureteral stenoses. At 7-year followup the patient is continent. He has good bladder capacity, bladder emptying and a normal upper urinary tract.
Steffens
J
J
Department of Urology, University of Saarland, Homburg/Saar, Germany.
Steffens
L
L
Becht
E
E
Thüroff
J
J
Hohenfellner
R
R
D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D017211:Treatment Failure; D014521:Urethra; D014547:Urinary Diversion; D014549:Urinary Incontinence / Q000601:surgery*; D016741:Urinary Sphincter, Artificial