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

39 Citations (Scopus)

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)554-557
Number of pages4
JournalJournal of Urology
Volume134
Issue number3
StatePublished - 1985

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Urethra
Catheterization
Urinary Bladder
Catheters
Cystostomy
Neurogenic Urinary Bladder
Urinary Catheters
Urinary Diversion
Indwelling Catheters
Urinary Incontinence
Urinary Tract
Necrosis
Pressure

ASJC Scopus subject areas

  • Urology

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Transvaginal closure of the bladder neck and placement of a suprapubic catheter for destroyed urethra after long-term indwelling catheterization. / Zimmern, P. E.; Hadley, H. R.; Leach, G. E.; Raz, S.

In: Journal of Urology, Vol. 134, No. 3, 1985, p. 554-557.

Research output: Contribution to journalArticle

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