Long-term evaluation of rectus fascial wrap in patients with spina bifida.
OBJECTIVE
We evaluated patients with spina bifida to determine long-term results of the rectus fascial wrap, a modification of the rectus fascial sling


METHODS
We assessed patients with spina bifida 3 years after a rectus fascial wrap procedure using an outcome questionnaire, renal ultrasound and urodynamics.


RESULTS
The 15 patients who completed the outcome questionnaire indicated that significant improvement over preoperative status was maintained a mean of 58 months postoperatively. Ultrasound in 14 cases showed no postoperative increase in hydronephrosis. Urodynamic study in 13 patients revealed a mean bladder capacity of 583 cc and mean maximum detrusor pressure of 39 cm. water, while 11 had no urine leakage when Valsalva leak point pressure was measured.


CONCLUSIONS
Three years postoperatively the rectus fascial wrap provides dryness comparable to that of other bladder neck sling procedures in patients with spina bifida.
Walker
R D
RD
Division of Urology, University of Florida College of Medicine, Gainesville, Florida, USA.
Erhard
M
M
Starling
J
J
D000293:Adolescent; D000328:Adult; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D008297:Male; D008722:Methods; D012189:Retrospective Studies; D016135:Spinal Dysraphism / Q000601:surgery*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000601:surgery; D014546:Urinary Catheterization; D013520:Urologic Surgical Procedures