Combined Modified Rectus Fascial Sling and Augmentation Ileocystoplasty for Neurogenic Incontinence in Women |
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Authors: | Eric Fontaine Sami Bendaya Jean-Francois Desert Christian Fakacs Marie-Annick Le Mouel Daniel Beurton |
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Institution: | Department of Urology, Ambroise Pare Hospital, University of West Paris, Boulogne and Neurologic Rehabilitation Center of Coubert, Coubert, France. |
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Abstract: | PurposeWe assessed results of a combined modified rectus fascial sling procedure and augmentation ileocystoplasty in women with neurogenic urinary incontinence.Materials and MethodsWe prospectively evaluated 21 patients (mean followup 28.6 months).ResultsA 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.ConclusionsA combined modified rectus fascial sling procedure and augmentation ileocystoplasty are safe and effective when all available pharmacological treatments and clean intermittent catheterization have failed. |
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