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Concomitant modified bladder neck closure and Mitrofanoff urinary diversion
A E Khoury1, S K Agarwal, D Bägli
1Division of Urology, Hospital for Sick Children, University of Toronto, Ontario, Canada.
Purpose:
We describe a modification of bladder neck closure for managing urinary incontinence in children.
Materials And Methods:
In 11 patients with intractable urinary incontinence that persisted after multiple failed surgical procedures we performed modified bladder neck closure with construction of a catheterizable continent conduit.
Results:
Mean followup is 3 years. All patients were continent after the procedure and none had a fistula or urinary leakage. One patient required stomal and conduit revision, and bladder stones in 3 necessitated endoscopic removal.
Conclusions:
We recommend this modified technique of bladder neck closure as an option for managing urinary incontinence in a complex group of children because it allows the achievement of continence with minimal morbidity.