Bladder neck reconstruction for total urinary incontinence: 10 years experience

Area of Science:

• Urology
• Surgical Techniques

Background:

• Urinary incontinence presents a significant challenge, particularly post-prostatectomy.
• Various surgical techniques exist for managing complete urinary incontinence.

Purpose of the Study:

• To evaluate the efficacy of the anterior tube reconstruction of Tanagho for complete urinary incontinence.
• To compare the anterior tube reconstruction with the posterior bladder tube (Leadbetter) technique.
• To analyze outcomes based on different indications for surgical intervention.

Main Methods:

• A retrospective analysis of 75 patients with complete urinary incontinence.
• 25 patients managed with the posterior bladder tube (Leadbetter) technique.
• 50 patients managed with the anterior tube reconstruction of Tanagho, including 6 additional cases post-prostatectomy.

Main Results:

• The anterior tube reconstruction achieved a success rate of approximately 70%.
• Post-prostatectomy incontinence was the primary indication for surgery in 44 patients.
• Other indications included trauma, congenital anomalies (epispadias), urethrotomy, and urethral excision.

Conclusions:

• The anterior tube reconstruction of Tanagho is an effective surgical option for managing complete urinary incontinence.
• The technique demonstrates a favorable success rate, particularly in cases of post-prostatectomy incontinence.
• Further analysis comparing anterior and posterior reconstruction techniques and indications is presented.