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Combined Modified Rectus Fascial Sling and Augmentation Ileocystoplasty for Neurogenic Incontinence in Women
Authors:Eric Fontaine  Sami Bendaya  Jean-Francois Desert  Christian Fakacs  Marie-Annick Le Mouel  Daniel Beurton
Institution:Department of Urology, Ambroise Pare Hospital, University of West Paris, Boulogne and Neurologic Rehabilitation Center of Coubert, Coubert, France.
Abstract:

Purpose

We assessed results of a combined modified rectus fascial sling procedure and augmentation ileocystoplasty in women with neurogenic urinary incontinence.

Materials and Methods

We prospectively evaluated 21 patients (mean followup 28.6 months).

Results

A total of 20 patients (95.2%) was dry during the day on intermittent catheterization and none had difficulty with catheterization. Subsequently surgery was necessary in 1 case for perforation of the augmented bladder.

Conclusions

A combined modified rectus fascial sling procedure and augmentation ileocystoplasty are safe and effective when all available pharmacological treatments and clean intermittent catheterization have failed.
Keywords:
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