Catálogo de publicaciones - libros
Vaginal Surgery for Incontinence and Prolapse
Philippe E. Zimmern ; Peggy A. Norton ; François Haab ; Christopher C. R. Chapple (eds.)
Resumen/Descripción – provisto por la editorial
No disponible.
Palabras clave – provistas por la editorial
Gynecology; Urology; Surgery; Physiotherapy
Disponibilidad
| Institución detectada | Año de publicación | Navegá | Descargá | Solicitá |
|---|---|---|---|---|
| No detectada | 2006 | SpringerLink |
Información
Tipo de recurso:
libros
ISBN impreso
978-1-85233-912-8
ISBN electrónico
978-1-84628-346-8
Editor responsable
Springer Nature
País de edición
Reino Unido
Fecha de publicación
2006
Información sobre derechos de publicación
© Springer-Verlag London Limited 2006
Cobertura temática
Tabla de contenidos
Bladder Neck Closure
Aaron D. Berger; Christopher E. Kelly
Bladder neck closure (BNC) is a procedure that, although not performed frequently, can be very beneficial for an appropriately selected patient. T he t raditional role of BNC w as in the female patient with a neurogenic bladder, destroyed bladder neck, and patulous urethra from longterm indwelling catheter drainage ( 1 – 4 ). Other options for urethral reconstruction using vagina or bowel have been reported, but are very complex, and attempts to create a patent and continent outlet are often unsuccessful ( 5 ). Other indications for the procedure have included bladder neck destruction from pelvic trauma, labor and delivery complications, and multiple failed surgical interventions to treat incontinence or urethrovaginal fistulas ( 6 ). Bladder neck closure can be combined with other procedures such as creation of a continent catheterizable stoma both separately or in combination with augmentation cystoplasty for patients with small capacity bladders or refractory detrusor overactivity ( 6 – 8 ). If the patient is unwilling or unable to perform intermittent catheterization, urinary drainage can be managed with a suprapubic tube or an ileovesicostomy ( 9 ). In early reports, BNC was often unsuccessful, but refinements in patient selection and surgical technique have significantly improved patient outcomes ( 13 ).
Palabras clave: Bladder Neck; Detrusor Overactivity; Urinary Diversion; Anterior Vaginal Wall; Neurogenic Bladder.
Part VII - Other Reconstructive Vaginal Procedures | Pp. 277-282