PMID: 8583550Mar 1, 1996Paper

Vaginal flap reconstruction of the urethra and vesical neck in women: a report of 49 cases

The Journal of Urology
Jerry G Blaivas, D M Heritz

Abstract

A retrospective study was done to evaluate the results of a 1-stage urethral reconstruction in women. Of 49 consecutive women who presented with anatomical damage to the urethra or vesical neck 48 underwent urethral and/or vesical neck reconstruction with vaginal flaps. A Martius labial fat pad flap was used in 47 patients, a gracilis flap in 1 and an anterior bladder tube in 1. In 41 patients the anti-incontinence procedure consisted of a fascial pubovaginal sling placed over the labial fat pad flap without tension. In 5 patients a modified Pereyra operation was done and 1 underwent a Kelly plication. Followup ranged from 1 to 11 years. Postoperatively continence was obtained in 42 of 49 patients (87%). The initial procedure failed in 7 patients and a secondary procedure was successful in 6. Of the 5 initial patients who underwent a modified Pereyra operation 3 had postoperative stress incontinence and all were cured subsequently by a pubovaginal sling. A 1-stage vaginal flap reconstruction and pubovaginal sling procedure is effective in women with extensive vesical neck and/or urethral damage.

References

Apr 19, 1969·British Medical Journal·R H Hamlin, E C Nicholson

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Citations

May 2, 2013·World Journal of Urology·M H RadwanO M Abou Farha
Aug 16, 2008·Current Urology Reports·Jerry G Blaivas, Rajveer S Purohit
Aug 20, 2014·International Urogynecology Journal·Sinasi Yavuz ÖnolAbdülkadir Tepeler
Mar 23, 1999·The Urologic Clinics of North America·W W Leng, E J McGuire
Sep 6, 2006·The Journal of Urology·Roberto MigliariEnzo Palminteri
Dec 13, 2002·The Urologic Clinics of North America·Kathleen NiknejadKevin R Loughlin
May 19, 2007·The Journal of Urology·Bassem S WadieAlbair A Khair
Jan 19, 2018·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Ritesh Kumar SinghRajeev Sood
Jun 4, 2008·Current Opinion in Urology·Dmitry Yu PushkarGevorg R Kasyan

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