Pull-Through Intraurethral Bladder Flap

Neto, Manuel

doi:10.1016/s0022-5347(17)57595-3

Journal of Urology

1978

DOI: 10.1016/s0022-5347(17)57595-3

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Pull-Through Intraurethral Bladder Flap

Manuel Neto

Abstract: A new surgical technique for post-prostatectomy incontinence is described. A simple surgical procedure was developed using a tube from a bladder flap and was applied successfully to 4 patients. Of the 4 patients 3 with total incontinence as a result of different surgical procedures on the prostate were cured and 1 was improved.

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Neourethra: A New Two-Stage Procedure for Reconstruction of the Functional Urethra

Thüroff¹,

Hutschenreiter²,

Rumpelt³

et al. 1983

Journal of Urology

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In 14 male dogs, the functional urethra was replaced by a bladder flap tube in a 2-stage procedure. In the 1st stage of the operation a bipedicle strip from the anterior bladder wall was tubularized around a 10F or 12F catheter. After 10 to 12 weeks the 2nd stage of the procedure was performed: the bladder neck was transected and sutured, and the cranial pedicle of the bipedicle tube was transected and pulled through the bluntly dissected pelvic floor muscles. From the distal end of the tube a perineal urostoma was created to facilitate radiological and urodynamic followup. Eight dogs completed a followup 5 months after the 2nd procedure. Urodynamic and x-ray studies were done preoperatively, after the 1st, and twice after the 2nd operation. All dogs were continent as a result of a mean functional urethral length of 8 cm. with a maximum closure pressure of 82.9 cm. H2O. Closure pressure was related to the tone of the smooth muscular tube and additional compression of the tube by the pelvic floor muscles. The method is considered to be applicable in cases of congenital defects or total loss of the functional urethra.

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Neourethra: A New Two-Stage Procedure for Reconstruction of the Functional Urethra

Thüroff¹,

Hutschenreiter²,

Rumpelt³

et al. 1983

Journal of Urology

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show abstract

Chapitre C-2 E - Chirurgie prothétique de l’incontinence urinaire d’effort par insuffisance sphinctérienne neurologique

Chartier-Kastler¹,

Ayoub²,

Richard³

et al. 2007

Progrès en Urologie

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Reconstruction of the Posterior Urethra with a Distally Based Flap from the Bladder

Pers¹,

Medgyesi²,

J³

1982

Scandinavian Journal of Plastic and Reconstructive Surgery

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Pull-Through Intraurethral Bladder Flap

Cited by 3 publications

References 3 publications

Neourethra: A New Two-Stage Procedure for Reconstruction of the Functional Urethra

Neourethra: A New Two-Stage Procedure for Reconstruction of the Functional Urethra

Chapitre C-2 E - Chirurgie prothétique de l’incontinence urinaire d’effort par insuffisance sphinctérienne neurologique

Reconstruction of the Posterior Urethra with a Distally Based Flap from the Bladder

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