Combined modified rectus fascial sling and augmentation ileocystoplasty for neurogenic incontinence in women.
OBJECTIVE
We assessed results of a combined modified rectus fascial sling procedure and augmentation ileocystoplasty in women with neurogenic urinary incontinence.


METHODS
We prospectively evaluated 21 patients (mean followup 28.6 months).


RESULTS
A total of 20 patients (95.2%) was dry during the day on intermittent catheterization and none had difficulty with catheterization. Subsequently surgery was necessary in 1 case for perforation of the augmented bladder.


CONCLUSIONS
A combined modified rectus fascial sling procedure and augmentation ileocystoplasty are safe and effective when all available pharmacological treatments and clean intermittent catheterization have failed.
Fontaine
E
E
Department of Urology, Ambroise Pare Hospital, University of West Paris, Boulogne, France.
Bendaya
S
S
Desert
J F
JF
Fakacs
C
C
Le Mouel
M A
MA
Beurton
D
D
D000293:Adolescent; D000328:Adult; D005205:Fascia / Q000637:transplantation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007082:Ileum / Q000637:transplantation; D008875:Middle Aged; D011446:Prospective Studies; D001750:Urinary Bladder, Neurogenic / Q000150:complications / Q000601:surgery*; D014549:Urinary Incontinence / Q000209:etiology / Q000601:surgery*