title: Long-term results of suprapubic bladder neck closure for treatment of the devastated outlet.
abstract: 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.
authors.affiliation: University of California, Davis, School of Medicine, Sacramento, California 95817, USA. CoreyOC@aol.com
authors.forename: R C
authors.initials: RC
authors.lastname: O'Connor
authors.forename: E C
authors.initials: EC
authors.lastname: Stapp
authors.forename: S M
authors.initials: SM
authors.lastname: Donnellan
authors.forename: R M
authors.initials: RM
authors.lastname: Hovey
authors.forename: V W M
authors.initials: VW
authors.lastname: Tse
authors.forename: A R
authors.initials: AR
authors.lastname: Stone
mesh_terms: 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*