Surgical Management of Pediatric Urinary Incontinence

The surgical management of pediatric urinary incontinence secondary to neurogenic bladder and congenital anomalies is challenging, and continues to evolve with new surgical innovations. The goal of these surgical procedures is to achieve complete and socially acceptable urinary dryness, while preser...

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Bibliographic Details
Published in:Current urology reports 2013-08, Vol.14 (4), p.342-349
Main Authors: Dave, Sumit, Salle, Joao Luiz Pippi
Format: Article
Language:English
Subjects:
Child
Humans
Medicine
Medicine & Public Health
Nephrology
Pediatric Urology (M Castellan and R Gosalbez
Section Editors
Urinary Bladder, Neurogenic - complications
Urinary Bladder, Neurogenic - surgery
Urinary Incontinence - etiology
Urinary Incontinence - surgery
Urogenital Abnormalities - complications
Urogenital Abnormalities - surgery
Urology
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Summary:The surgical management of pediatric urinary incontinence secondary to neurogenic bladder and congenital anomalies is challenging, and continues to evolve with new surgical innovations. The goal of these surgical procedures is to achieve complete and socially acceptable urinary dryness, while preserving volitional voiding where possible, without causing damage to the upper tracts. This review focuses on recent studies and highlights the pros and cons of these advances, based on our experience. The short-term success in achieving urinary continence has to be tempered with the long-term implications of these reconstructive procedures, about which our knowledge is limited.
ISSN:1527-2737
1534-6285
DOI:10.1007/s11934-013-0333-x