Transvaginal closure of the bladder neck and placement of a suprapubic catheter for destroyed urethra after long-term indwelling catheterization

P. E. Zimmern, H. R. Hadley, G. E. Leach, S. Raz

Research output: Contribution to journalArticle

41 Scopus citations

Abstract

We report on 6 women with continuous urinary incontinence as a late complication of an indwelling urethral catheter for neurogenic bladder. Pressure necrosis by the balloon resulted in progressive destruction of the entire urethra, with subsequent incontinence despite the catheter. Surgical attempts at bladder neck closure to correct the incontinence generally have been unsuccessful. Instead of supravesical urinary diversion, we performed transvaginal closure of the bladder neck and percutaneous placement of a permanent suprapubic tube cystostomy. All 6 patients remained dry after closure and none has shown upper urinary tract deterioration at followup for as long as 5 years.

Original languageEnglish (US)
Pages (from-to)554-556
Number of pages3
JournalJournal of Urology
Volume134
Issue number3
StatePublished - Jan 1 1985

ASJC Scopus subject areas

  • Urology

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