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.
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.
Authors: José Carlos Truzzi; Fernando Gonçalves de Almeida; Carlos Alberto Sacomani; Joceara Reis; Flávio Eduardo Trigo Rocha Journal: Int Braz J Urol Date: 2022 Mar-Apr Impact factor: 1.541