García LGJM, Molina MCFM, García NL

Language: Spanish
References: 15
Page: 33-37
PDF size: 96.26 Kb.

ABSTRACT

We report our preliminary experience about eighteen patients (fourteen female and four male) with urinary incontinence due to myelomeningocele and neurogenic bladder attended at Pediatric Hospital in Guadalajara, Jalisco, Mexico from October 1997 to January 2001, the mean age was 9 years ± 3 months, all patients underwent to a modified Koff procedure using a compressive cuff of bladder muscle that has been rendered devoid of mucosa as a cinch on the bladder neck to attempt to enhance sphincteric function. The preoperative behavior of the bladder was evaluated by cistometry, that finds show that were twelve cases of high risk neurogenic bladder, six patients with low risk neurogenic bladder. The continence was succesfully in 83.4% (fifteen patients), they are dry for a 4 hour or longer period after uretheral catheterization. Three patients (16.6%) have a partial response (Dry less than 3 hours). Continence was achieved in a four weeks mean period. Fifteen patients underwent to a intermittent self catheterization , and 3 of they present self micturition with the increase of the intra-abdominal pressure. Minimal complications were noted and no mortality was founded.

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