Bladder neck reconstruction for total urinary incontinence: 10 years experience.

Of 75 patients with complete urinary incontinence (25 female and 50 male patients) 25 were managed by the posterior bladder tube (Leadbetter) technique and 50 were managed by the anterior tube reconstruction of Tanagho. The cases of 6 other patients who underwent the same anterior bladder tube reconstruction after retropubic prostatectomy also are analyzed. Post-prostatectomy incontinence constituted the major indication for operation (44 patients). Other indications were trauma, congenital anomalies including epispadias, urethrotomy and urethral excision. The success rate with the anterior repair was about 70 per cent. Analysis of each group, comparison to posterior reconstruction and indications are presented.