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Updated: Aug 16, 2026
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Long-term results of suprapubic bladder neck closure for treatment of the devastated outlet
R C O'Connor1, E C Stapp, S M Donnellan
1University of California, Davis, School of Medicine, Sacramento, California 95817, USA. CoreyOC@aol.com
Objectives:
To assess the long-term success of suprapubic bladder neck closure in patients with irreparably damaged bladder outlets.
Methods:
A cohort of 35 patients with intractable urinary incontinence secondary to severe posterior urethral/bladder neck damage underwent suprapubic bladder neck closure. Patients were assessed with regard to the success of procedure, as well as early and late complications.
Results:
With a mean follow-up of 79 months (range 12 to 164), suprapubic bladder neck closure was successful in 29 (83%) of 35 patients. One revision of the bladder neck improved the success rate to 94% (33 of 35). Early and late complications, excluding bladder neck fistula, were reported in 3 (9%) and 5 (14%) of 35 patients, respectively.
Conclusions:
High success and acceptable complication rates can be achieved with suprapubic bladder neck closure for the treatment of severe urinary incontinence secondary to a devastated bladder outlet.
