Improved Results Using a Modification of the Young‐Dees‐Leadbetter Bladder Neck Repair

J. A. JONES, M. E. MITCHELL, R. C. RINK

Research output: Contribution to journalArticle

51 Citations (Scopus)

Abstract

Summary— Forty‐seven patients with primary total incontinence underwent bladder neck reconstruction (BNR) between 1978 and 1988. This included 31 patients with exstrophy/epispadias, 14 with myelomeningocele and 2 with caecoureteroceles. The patients were divided into 5 groups based on the type of BNR: Group 1—standard Young‐Dees‐Leadbetter (YDL.) BNR; Group 2—YDL. + Silastic sheath; Group 3—modified YDL.; Group 4—Kropp BNR; Group 5—other BNRs; Group 1 included 18 patients with a 45% primary continence failure rate, a 44% reoperation rate and only a fair ability to void spontaneously after BNR. There were 11 patients in Group 3 with a 9% primary continence failure rate, a 27% reoperation rate and excellent post‐operative emptying. None of the 3 patients in Group 4 was incontinent post‐operatively, but they all required reoperation and had poor post‐operative emptying. We feel that the modified YDL BNR provides better overall voiding and continence with less morbidity than the other bladder neck/urethral reconstructive procedures.

Original languageEnglish (US)
Pages (from-to)555-561
Number of pages7
JournalBritish Journal of Urology
Volume71
Issue number5
DOIs
StatePublished - May 1993

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Urinary Bladder
Reoperation
Epispadias
Meningomyelocele
Morbidity

ASJC Scopus subject areas

  • Urology

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Improved Results Using a Modification of the Young‐Dees‐Leadbetter Bladder Neck Repair. / JONES, J. A.; MITCHELL, M. E.; RINK, R. C.

In: British Journal of Urology, Vol. 71, No. 5, 05.1993, p. 555-561.

Research output: Contribution to journalArticle

JONES, J. A. ; MITCHELL, M. E. ; RINK, R. C. / Improved Results Using a Modification of the Young‐Dees‐Leadbetter Bladder Neck Repair. In: British Journal of Urology. 1993 ; Vol. 71, No. 5. pp. 555-561.
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