Use of a urethral occlusion device for treatment of incontinence in a patient with heterotopic urinary diversion.
Incontinence is a frequent complication of continent cutaneous urinary diversion that usually requires surgical intervention for correction. We report a novel nonsurgical therapy for reservoir incontinence in a woman who underwent anterior pelvic exenteration with formation of an Indiana pouch urinary diversion for treatment of adenocarcinoma of the urethra. When she subsequently developed urinary incontinence that was only partially responsive to anticholinergic therapy, stomal continence was restored by using a disposable urethral occlusion device.
Davis
N S
NS
Department of Surgery, Medical College of Pennsylvania, Philadelphia, USA.
Bavendam
T G
TG
D000230:Adenocarcinoma / Q000601:surgery*; D000328:Adult; D021721:Balloon Occlusion / Q000295:instrumentation*; D005260:Female; D006801:Humans; D014523:Urethral Neoplasms / Q000601:surgery*; D014547:Urinary Diversion / Q000009:adverse effects*; D014549:Urinary Incontinence / Q000209:etiology* / Q000628:therapy*; D016476:Urinary Reservoirs, Continent