The Journal of urology · 1997
A simplified Kropp procedure for incontinence.
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Snodgrass W
Аннотация
PURPOSE: A simplified Kropp bladder neck reconstruction was done to achieve urinary continence.
MATERIALS AND METHODS: A total of 23 patients with an incompetent bladder neck underwent the procedure, including 22 with a neurogenic bladder secondary to myelodysplasia and 1 with bladder exstrophy. The bladder neck operation was incorporated into comprehensive lower tract reconstruction that included simultaneous augmentation cystoplasty in 20 patients, ureteroneocystostomy in 6 and appendicovesicostomy in 6.
RESULTS: Of the 23 patients 21 (91%) are continent. Complications included difficult catheterization in boys and new onset vesicoureteral reflux.
CONCLUSIONS: This operation is easily performed and effective for achieving continence.
MATERIALS AND METHODS: A total of 23 patients with an incompetent bladder neck underwent the procedure, including 22 with a neurogenic bladder secondary to myelodysplasia and 1 with bladder exstrophy. The bladder neck operation was incorporated into comprehensive lower tract reconstruction that included simultaneous augmentation cystoplasty in 20 patients, ureteroneocystostomy in 6 and appendicovesicostomy in 6.
RESULTS: Of the 23 patients 21 (91%) are continent. Complications included difficult catheterization in boys and new onset vesicoureteral reflux.
CONCLUSIONS: This operation is easily performed and effective for achieving continence.