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[Continent urinary diversion in neurogenic bladders]
R Aboutaieb1, A el Moussaoui, A el Fatimi
1Service d'Urologie, Hôpital Ibn Rochd, Casablanca, Maroc.
Annales D'Urologie
|January 1, 1996
Summary
Continent cystostomy with the Benchekroun hydraulic valve offers excellent functional results for neurogenic bladder patients with sphincter incompetence. This surgical approach provides a reliable treatment option for refractory urinary incontinence cases.
Area of Science:
- Urology
- Neurosurgery
- Reconstructive Surgery
Context:
- Neurogenic bladder, often resulting from conditions like spina bifida or spinal cord trauma, frequently causes urinary incontinence due to sphincter insufficiency.
- Standard treatments like intermittent catheterization and drug therapy are insufficient for some refractory cases, necessitating surgical intervention.
Purpose:
- To evaluate the efficacy and safety of continent cystostomy using the Benchekroun hydraulic valve in patients with neurogenic bladder and sphincter atonia.
Summary:
- Five patients (3 male, 2 female; mean age 20) with neurogenic bladder secondary to spina bifida, spinal cord trauma, or leprosy underwent continent cystostomy with the Benchekroun hydraulic valve for urinary incontinence.
- One postoperative death occurred due to an anesthetic accident. Bladder neck reopening required revision in three patients, and one developed bladder stones six years post-surgery.
- Despite complications, the overall functional results were considered excellent, indicating the technique's reliability in selected patients.
Impact:
- Continent cystostomy using the Benchekroun technique demonstrates potential as a reliable surgical solution for managing intractable urinary incontinence in specific neurogenic bladder populations.
- This study highlights the importance of surgical options for refractory neurogenic sphincter insufficiency, improving patient quality of life.