Adjustable continence therapy for the treatment of urinary incontinence after radical cystectomy and orthotopic neobladder in women

The management of urinary incontinence after radical cystectomy and orthotopic neobladder reconstruction is a very challenging situation. We report on a patient that developed a neobladder-urethro-vaginal fistula successfully treated but resulting in severe urinary incontinence that was cured after...

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Bibliographic Details
Published in:	International Urogynecology Journal Vol. 18; no. 9; pp. 1101 - 1103
Main Authors:	Riccetto, Cássio, Palma, Paulo, Herrmann, Viviane, Silva, Jr, Walter, Leitão, Victor, Netto, Jr, Nelson Rodrigues
Format:	Journal Article
Language:	English
Published:	England Springer Nature B.V 01-09-2007
Subjects:	Catheterization - methods Cystectomy - adverse effects Female Gynecologic Surgical Procedures - adverse effects Gynecologic Surgical Procedures - methods Humans Magnetic Resonance Imaging Middle Aged Older people Treatment Outcome Urinary Bladder - pathology Urinary Bladder - surgery Urinary Bladder Fistula - complications Urinary Bladder Fistula - etiology Urinary incontinence Urinary Incontinence - etiology Urinary Incontinence - therapy
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Summary:	The management of urinary incontinence after radical cystectomy and orthotopic neobladder reconstruction is a very challenging situation. We report on a patient that developed a neobladder-urethro-vaginal fistula successfully treated but resulting in severe urinary incontinence that was cured after the periurethral insertion of adjustable silicone balloons.
ISSN:	0937-3462 1433-3023
DOI:	10.1007/s00192-006-0282-8