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Published on: August 14, 2019

Total and partial urogenital mobilization: focus on urinary continence

Blake W Palmer1, Brandon Trojan, Katie Griffin

  • 1Department of Pediatric Urology, University of Oklahoma, Oklahoma City, Oklahoma 73104, USA. blake-palmer@ouhsc.edu

The Journal of Urology
|February 21, 2012
PubMed

Insights

Urinary continence outcomes after urogenital mobilization for congenital adrenal hyperplasia, urogenital sinus, and cloacal anomalies are favorable. Both total and partial mobilization procedures demonstrate high success rates, with no significant differences observed.

Area of Science:

  • Pediatric surgery
  • Urology
  • Pediatric endocrinology

Background:

  • Urogenital mobilization procedures, including total and partial urogenital mobilization, are standard surgical interventions for congenital adrenal hyperplasia, urogenital sinus, and cloacal anomalies.
  • Controversy exists regarding the long-term urinary continence outcomes following these reconstructive surgeries.

Purpose of the Study:

  • To evaluate the urinary continence outcomes in children who underwent total or partial urogenital mobilization.
  • To compare the continence rates between total and partial urogenital mobilization procedures.
  • To review existing literature on urinary continence after urogenital mobilization for these conditions.

Main Methods:

  • Retrospective review of 25 patients who underwent total or partial urogenital mobilization.
  • Assessment of postoperative continence status based on parental report of daytime and nighttime toilet training success.
  • Literature review of studies reporting urinary continence outcomes in similar patient cohorts.

Main Results:

  • In the institutional cohort, 95.5% of patients achieved urinary continence by age 3 years, with no urinary complications.
  • Literature review indicated a 96.4% continence rate for congenital adrenal hyperplasia/urogenital sinus cases and 87.5% for cloacal anomaly cases.
  • No significant difference in urinary continence was found between total and partial urogenital mobilization.

Conclusions:

  • Total and partial urogenital mobilization yield comparable and favorable urinary continence outcomes.
  • High rates of urinary continence are achievable for patients with congenital adrenal hyperplasia, urogenital sinus, and cloacal anomalies following urogenital mobilization.
  • The choice between total and partial urogenital mobilization does not appear to significantly impact urinary continence results.
Abstract

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