A CASE REPORT: TREATMENT OF INCONTINENCE IN A FEMALE NEUROGENIC BLADDER WITH URETHROVAGINAL FISTULA Masahiro Narushima 1 , Toshikazu Otani 1 , Yuichi Itoh 1 , Seiji Ohmura 1 , Atsuo Kondo 2 1Urology, Chuuburousai Hospital 2Department of Urology, Nagoya University School of Medicine Keyword: 神経因性膀胱 , 尿道腟瘻 pp.339-341
Published Date 1989/4/20
DOI https://doi.org/10.11477/mf.1413204963
  • Abstract
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A female neurogenic bladder with cystocele, caused by the lumbar vertebral fracture and urethro-vaginal fistula, which was formed by sexual abuse, was treated. Firstly she was operated with trans-vaginal closure of the fistula together with the anterior colporrhaphy, which resulted in recurrence of incontinence 37 days after operation. The etiology of failure is probably due to the urethral sphincter incompetence and the pelvic floor relaxation of a severe degree. Stamey's bladder neck suspension procedure eventually resolved her symptom, where the bladder neck was elevated with a tension of 1000 g in each nylon thread.

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