A simplified Kropp procedure for incontinence.
OBJECTIVE
A simplified Kropp bladder neck reconstruction was done to achieve urinary continence.


METHODS
A total of 23 patients with an incompetent bladder neck underwent the procedure, including 22 with a neurogenic bladder secondary to myelodysplasia and 1 with bladder exstrophy. The bladder neck operation was incorporated into comprehensive lower tract reconstruction that included simultaneous augmentation cystoplasty in 20 patients, ureteroneocystostomy in 6 and appendicovesicostomy in 6.


RESULTS
Of the 23 patients 21 (91%) are continent. Complications included difficult catheterization in boys and new onset vesicoureteral reflux.


CONCLUSIONS
This operation is easily performed and effective for achieving continence.
Snodgrass
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Methodist Children's Hospital, Lubbock, Texas, USA.
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D009436:Neural Tube Defects / Q000150:complications; D001750:Urinary Bladder, Neurogenic / Q000209:etiology / Q000601:surgery*; D014549:Urinary Incontinence / Q000209:etiology / Q000601:surgery*