Periurethral Goretex sling in lower urinary reconstruction

Urethral incontinence in patients with neuropathic bladders remains a management problem not only to urologists but also to the primary carers of these patients. It impairs quality of life and encourages social withdrawal, but also leads to perineal soreness and inflammation. A number of surgical techniques have been described to increase bladder outlet resistance in order to render patients with neuropathic bladders perineally dry. We report our experience in achieving dryness with a periurethral Goretex sling in 17 patients.