Journal article
Urethral Reconstruction in Patients With Neurogenic Bladder Dysfunction
The Journal of urology, Vol.180(1), pp.197-200
2008
DOI: 10.1016/j.juro.2008.03.056
PMID: 18499188
Abstract
Purpose: There is limited literature examining urethral reconstruction in patients with neurogenic bladder dysfunction. We describe our experience of urethral reconstruction in men with concurrent neurogenic bladder.
Materials and methods: A prospectively maintained database of all urethral reconstruction procedures performed by 1 surgeon was analyzed for patients with neurogenic bladder dysfunction. Patient characteristics including the etiology of neurogenic bladder, urethral pathology, urethral reconstructive technique, complications and recurrences were evaluated.
Results: A total of 23 patients were included in the analysis. Urethral pathology included erosions (10), strictures (7), diverticula (3), urethrocutaneous fistulas (2), and a combination of diverticular and stricture disease (1). Median length of the urethral pathology was 5.0 cm (range 2.0 to 10.0). Overall urethral reconstruction was successful in 16 of 23 patients (69.6%) at a mean followup of 24.7 months (range 2 to 79). Success rates differed among the types of pathology with 60% for urethral erosions, 85.7% for urethral strictures, and 66.6% for urethral diverticula and fistulas. Of those cases of recurrence 4 of 7 (57%) were after urethral erosion repair. There was 1 (4.3%) postoperative complication and no patient underwent urinary diversion after recurrence.
Conclusions: When identified at an early stage, urethral reconstruction in patients with neurogenic bladder dysfunction offers acceptable outcomes with limited morbidity. Men undergoing reconstruction for urethral erosion had inferior outcomes compared to those with other urethral pathology.
Details
- Title: Subtitle
- Urethral Reconstruction in Patients With Neurogenic Bladder Dysfunction
- Creators
- Jessica T CASEY - Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, United StatesBradley A ERICKSON - Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, United StatesNeema NAVAI - Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, United StatesLee C ZHAO - Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, United StatesJoshua J MEEKS - Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, United StatesChris M GONZALEZ - Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, United States
- Resource Type
- Journal article
- Publication Details
- The Journal of urology, Vol.180(1), pp.197-200
- Publisher
- Lippincott Williams & Wilkins; Hagerstown, MD
- DOI
- 10.1016/j.juro.2008.03.056
- PMID
- 18499188
- ISSN
- 0022-5347
- eISSN
- 1527-3792
- Language
- English
- Date published
- 2008
- Academic Unit
- Urology
- Record Identifier
- 9984051526002771
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