Anterior bladder flap neo urethra as treatment for stress urinary incontinence due to developmental urogenital anomaly
Congenital anomalies that involve the distal segment of urogenital sinus (giving rise to female urethra and vagina) may lead to abnormal urethral development ranging from absent to markedly deficient urethra. The abnormal division may also cause a short and patulous urethra. Sphincteric defects are...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2013-01-01
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| Series: | Urology Annals |
| Subjects: | |
| Online Access: | http://www.urologyannals.com/article.asp?issn=0974-7796;year=2013;volume=5;issue=3;spage=215;epage=217;aulast=Rajamaheswari |
| _version_ | 1819183236401594368 |
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| author | N Rajamaheswari Sugandha Agarwal Archana Bharti Chhikara K Seethalakshmi |
| author_facet | N Rajamaheswari Sugandha Agarwal Archana Bharti Chhikara K Seethalakshmi |
| author_sort | N Rajamaheswari |
| collection | DOAJ |
| description | Congenital anomalies that involve the distal segment of urogenital sinus (giving rise to female urethra and vagina) may lead to abnormal urethral development ranging from absent to markedly deficient urethra. The abnormal division may also cause a short and patulous urethra. Sphincteric defects are likely to be associated and when combined with the short urethral length is a cause for severe urinary incontinence. Urinary incontinence due to a congenital cause requiring repeated urethral reconstruction to relieve symptoms is presented. A 15 year old girl was referred for bothersome urinary incontinence due to a short, wide, patulous urethra with defective sphincteric mechanism as part of urogenital sinus developmental anomaly. She was initially managed by reconstruction of bladder neck and proximal urethra with sphincter augmentation using autologous pubovaginal sling. Persistent urinary incontinence demanded a second urethral reconstruction using tubularised anterior bladder flap (modified Tanagho). Surgical reconstruction of the urethra achieved socially acceptable continence. |
| first_indexed | 2024-12-22T22:58:49Z |
| format | Article |
| id | doaj.art-71fcc94cc6c54d299d1c4738965976ff |
| institution | Directory Open Access Journal |
| issn | 0974-7796 0974-7834 |
| language | English |
| last_indexed | 2024-12-22T22:58:49Z |
| publishDate | 2013-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Urology Annals |
| spelling | doaj.art-71fcc94cc6c54d299d1c4738965976ff2022-12-21T18:09:45ZengWolters Kluwer Medknow PublicationsUrology Annals0974-77960974-78342013-01-015321521710.4103/0974-7796.115745Anterior bladder flap neo urethra as treatment for stress urinary incontinence due to developmental urogenital anomalyN RajamaheswariSugandha AgarwalArchana Bharti ChhikaraK SeethalakshmiCongenital anomalies that involve the distal segment of urogenital sinus (giving rise to female urethra and vagina) may lead to abnormal urethral development ranging from absent to markedly deficient urethra. The abnormal division may also cause a short and patulous urethra. Sphincteric defects are likely to be associated and when combined with the short urethral length is a cause for severe urinary incontinence. Urinary incontinence due to a congenital cause requiring repeated urethral reconstruction to relieve symptoms is presented. A 15 year old girl was referred for bothersome urinary incontinence due to a short, wide, patulous urethra with defective sphincteric mechanism as part of urogenital sinus developmental anomaly. She was initially managed by reconstruction of bladder neck and proximal urethra with sphincter augmentation using autologous pubovaginal sling. Persistent urinary incontinence demanded a second urethral reconstruction using tubularised anterior bladder flap (modified Tanagho). Surgical reconstruction of the urethra achieved socially acceptable continence.http://www.urologyannals.com/article.asp?issn=0974-7796;year=2013;volume=5;issue=3;spage=215;epage=217;aulast=RajamaheswariUrethral reconstructionurinary incontinenceurogenital sinus |
| spellingShingle | N Rajamaheswari Sugandha Agarwal Archana Bharti Chhikara K Seethalakshmi Anterior bladder flap neo urethra as treatment for stress urinary incontinence due to developmental urogenital anomaly Urology Annals Urethral reconstruction urinary incontinence urogenital sinus |
| title | Anterior bladder flap neo urethra as treatment for stress urinary incontinence due to developmental urogenital anomaly |
| title_full | Anterior bladder flap neo urethra as treatment for stress urinary incontinence due to developmental urogenital anomaly |
| title_fullStr | Anterior bladder flap neo urethra as treatment for stress urinary incontinence due to developmental urogenital anomaly |
| title_full_unstemmed | Anterior bladder flap neo urethra as treatment for stress urinary incontinence due to developmental urogenital anomaly |
| title_short | Anterior bladder flap neo urethra as treatment for stress urinary incontinence due to developmental urogenital anomaly |
| title_sort | anterior bladder flap neo urethra as treatment for stress urinary incontinence due to developmental urogenital anomaly |
| topic | Urethral reconstruction urinary incontinence urogenital sinus |
| url | http://www.urologyannals.com/article.asp?issn=0974-7796;year=2013;volume=5;issue=3;spage=215;epage=217;aulast=Rajamaheswari |
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