Buttressing the divided bladder neck by a rectus abdominis muscle flap to prevent urethral recanalisation in paediatric urinary incontinence.
Division of the bladder neck (BN) along with an augmentation cystoplasty and Mitrofanoff procedure was successfully employed in a group of patients with urinary incontinence. The BN division was buttressed with a unilateral vascularised rectus muscle flap, which effectively prevented urethral recanalisation without any cosmetic or functional disability.
Department of Paediatric Surgery, Christian Medical College and Hospital, Vellore, India. paedsur@cmcvellore.ac.in
Sudipta
S
Sen
Ninan
N
Zachariah
Jacob
J
Chacko
Gordon
G
Thomas
D000009:Abdominal Muscles / Q000637:transplantation*; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D013524:Surgical Flaps; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000601:surgery*