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Related Experiment Videos

Female bladder neck reconstruction. Anatomic and physiologic approach.

S L Goldenberg, H Fenster, M G McLoughlin

    Urology
    |February 1, 1985
    PubMed
    Summary

    Failed anti-incontinence surgery can cause bladder neck scarring. A novel "wrap-flap" technique with omental support successfully restored bladder function in 10 female patients.

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    Area of Science:

    • Urology
    • Female Pelvic Medicine and Reconstructive Surgery

    Background:

    • Postoperative scarring of the bladder neck and urethra can occur after failed anti-incontinence surgery.
    • This scarring disrupts normal bladder storage and voiding mechanisms in female patients.

    Observation:

    • Ten female patients with severe bladder neck and urethral scarring post-failed anti-incontinence surgery were analyzed.
    • The "wrap-flap" technique utilizing omental support was employed to address the anatomical and physiological disruptions.

    Findings:

    • The "wrap-flap" procedure demonstrated excellent outcomes in all 10 treated patients.
    • Functional restoration of bladder neck anatomy and physiology was achieved, with follow-up extending up to 54 months.

    Implications:

    • This surgical technique offers a promising alternative to prosthetic material implantation for managing complex bladder neck dysfunction.
    • The "wrap-flap" approach may be recommended before considering prosthetic interventions due to their associated difficulties.

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