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Bladder neck closure for neurogenic incontinence

The Australian and New Zealand Journal of Surgery

|April 1, 1981

Summary

This summary is machine-generated.

Closing the bladder neck and using a suprapubic catheter effectively manages incontinence in female patients with neurogenic bladders. This surgical approach ensures total continence when properly implemented, with minimal catheter issues reported.

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Area of Science:

Urology
Neurosurgery

Background:

Neurogenic bladder often requires indwelling urethral catheters.
Long-term catheter use can cause urethral dilatation and persistent incontinence.
Current management strategies may not fully address severe incontinence and its complications.

Purpose of the Study:

To present a surgical solution for managing incontinence in neurogenic bladder patients.
To describe techniques for bladder neck closure and suprapubic catheterization.
To evaluate the efficacy and safety of this approach in achieving total continence.

Main Methods:

Surgical closure of the bladder neck.
Establishment of suprapubic catheter drainage.
Description of two distinct surgical techniques.

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Patient education for self-catheter management.

Main Results:

Total continence achieved with correct catheter placement and unobstructed drainage.
No significant catheter-related complications reported in patients managing their own catheters.
Successful application of the technique in female patients, with a method also described for males.

Conclusions:

Bladder neck closure combined with suprapubic catheterization is an effective treatment for incontinence in neurogenic bladder.
This method provides reliable and total continence.
Self-management of suprapubic catheters is feasible and minimizes complications.