Long-term results of suprapubic bladder neck closure for treatment of the devastated outlet.
OBJECTIVE
To assess the long-term success of suprapubic bladder neck closure in patients with irreparably damaged bladder outlets.


METHODS
A cohort of 35 patients with intractable urinary incontinence secondary to severe posterior urethral/bladder neck damage underwent suprapubic bladder neck closure. Patients were assessed with regard to the success of procedure, as well as early and late complications.


RESULTS
With a mean follow-up of 79 months (range 12 to 164), suprapubic bladder neck closure was successful in 29 (83%) of 35 patients. One revision of the bladder neck improved the success rate to 94% (33 of 35). Early and late complications, excluding bladder neck fistula, were reported in 3 (9%) and 5 (14%) of 35 patients, respectively.


CONCLUSIONS
High success and acceptable complication rates can be achieved with suprapubic bladder neck closure for the treatment of severe urinary incontinence secondary to a devastated bladder outlet.
O'Connor
R C
RC
University of California, Davis, School of Medicine, Sacramento, California 95817, USA. CoreyOC@aol.com
Stapp
E C
EC
Donnellan
S M
SM
Hovey
R M
RM
Tse
V W M
VW
Stone
A R
AR
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D013997:Time Factors; D001743:Urinary Bladder / Q000601:surgery*; D014549:Urinary Incontinence / Q000209:etiology / Q000601:surgery*