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Updated: Jul 28, 2026

Evaluation of Biomaterials for Bladder Augmentation using Cystometric Analyses in Various Rodent Models

Evaluation of Biomaterials for Bladder Augmentation using Cystometric Analyses in Various Rodent Models

Published on: August 9, 2012

Modified Young-Dees-Leadbetter bladder neck reconstruction: new concepts about old ideas.

F A Ferrer¹, Y E Tadros, J Gearhart

¹Division of Pediatric Urology, Department of Urology, James Buchanan Brady Urological Institute, Johns Hopkins Hospital, Baltimore, Maryland, USA.

|November 17, 2001

Summary

The Young-Dees-Leadbetter bladder neck reconstruction, refined over 82 years, effectively treats congenital urinary incontinence in select pediatric patients. This surgical technique improves outcomes for lower urinary tract reconstruction.

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Area of Science:

Urology
Pediatric Surgery

Background:

The Young-Dees-Leadbetter bladder neck reconstruction has undergone 82 years of evolution.
Numerous urologic surgeons have contributed to its refinement, enhancing patient outcomes.

Observation:

Optimal patient selection includes minimal bladder capacity (85 mL) and readiness for postoperative voiding programs.
Adequate exposure of the bladder and bladder neck is crucial.
Ureteral reimplantation (cephalotrigonal or cross-trigonal) is performed to mobilize ureters and correct reflux.

Findings:

A 15x30 mm mucosal template forms the neourethra and bladder neck.
Demucosalized bladder flaps are closed in a "vest-over-pants" manner over an 8F Firlit tube.
Ureteral stents and a suprapubic tube are used, omitting a urethral catheter.

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Last Updated: Jul 28, 2026

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Implications:

The modern Young-Dees-Leadbetter procedure is an effective treatment for congenital urinary incontinence.
Appropriate patient selection is key to successful lower urinary tract reconstruction.