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Outcome of Urethral Closure in Patients with Neurologic Impairment and Complete Urethral Destruction by John T. Stoffel; Edward J. McGuire is a Medicine article available to read on EtoBox.

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## Abstract ## Aims The purpose of this study is to describe the problems associated with prolonged urethral catheterization in 12 patients with neurological problems and to report the results of surgical treatment. ## Methods A retrospective study of patients with neurogenic bladder and urethral dysfunction treated with prolonged catheterization resulting in incontinence associated with loss of urethral tissue and or function selected 12 patients. All had video urodynamics. Twelve were continuously incontinent despite a catheter. Bladder compliance, where that could be measured, was low is 10, and there were multiple and serious co‐morbidities including sepsis, hypoalbuminemia, skin breakdown, osteomyelitis, respiratory insufiency, etc. There were 4 males and 8 females, 9 had a spinal cord injury and 3 progressive multiple sclerosis. ## Results Male patients underwent transperineal closure of the membranous urethra; females transvaginal closure of the urethra. All patients had a urinary diversion, either an ileovesicostomy, or an augmentation cystoplasty and construction of a neourethra. Continence was ultimately achieved in 11 of 12 patients at a median 20 months. Four patients h

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Author

John T. Stoffel; Edward J. McGuire

Publisher

John Wiley and Sons; Wiley (John Wiley & Sons); John Wiley & Sons Inc.; Wiley (ISSN 0733-2467)

Published

2005

Language

EN

Field

Medicine (Health Sciences)