Transvaginal bladder-neck closure: a step-by-step video for female pelvic surgeons


Introduction and hypothesis

Transvaginal bladder-neck closure is a definitive surgical option for urethral erosion due chronic bladder catheterization in patients with neurogenic bladder. Surgeons who perform female pelvic reconstructive surgery have limited exposure to this procedure in their training. The purpose of this video is to demonstrate a transvaginal bladder-neck closure due to urethral erosion in a patient with neurogenic bladder due to persistent neuropathy from Guillain-Barré syndrome managed with prolonged catheter drainage.


We used a live-action surgical demonstration to describe transvaginal bladder-neck closure with urinary diversion.


This video provides a step-by-step approach to transvaginal bladder-neck closure as treatment for urethral erosion from chronic catheterization. This video can be used to educate and train those performing female pelvic reconstructive surgery.


Surgeons who perform female pelvic surgery should be familiar with the complications of chronic Foley catheterization and treatment options that include transvaginal bladder-neck closure. This video may be used to facilitate reproducibility and comprehension of this procedure.

This is a preview of subscription content, log in to check access.


  1. 1.

    Krebs J, Willner J, Pannek J. Bladder management in individuals with chronic neurogenic lower urinary tract dysfuntion. Spinal Cord. 2016;54(8):609–13.

    CAS  Article  Google Scholar 

  2. 2.

    Andrews HO, Shah PJ. Surgical management of urethral damage in neurologically impaired female patients with chronic indwelling catheters. Br J Urol. 1998;82(6):820–4.

    CAS  Article  Google Scholar 

  3. 3.

    Cravens DD, Zweig S. Urinary catheter management. Am Fam Physician. 2000;61:369–76.

    CAS  PubMed  Google Scholar 

  4. 4.

    Mahajan ST, Frasure HE, Marrie RA. The prevalence of urinary catheterization in women and men with multiple sclerosis. J Spinal Cord Med. 2013;36(6):632–7.

    Article  Google Scholar 

  5. 5.

    Dorsher P, McIntosh P. Neurogenic bladder. Adv Urol. 2012;2012:1–16.

    Article  Google Scholar 

  6. 6.

    Shpall A, Ginsberg D. Bladder neck closure with lower urinary tract reconstruction: technique and long-term follow up. J Urol. 2004;172(6):2296–9.

    Article  Google Scholar 

  7. 7.

    Vasavada SP, Rackley R, Goldman H, Daneshgari F. Transvaginal closure of the bladder neck. In: Novick AC, et al., editors. Operative urology at the Cleveland Clinic: Humana Press; 2006.

  8. 8.

    Venn SN, Mundy TR. Diversion and bladder neck closure. In: Stanton SL, Zimmern PE, editors. Female pelvic reconstructive surgery. London: Springer; 2003.

    Google Scholar 

  9. 9.

    Rovner ES, Goudelocke CM, Gilchrist A, et al. Transvaginal bladder neck closure with posterior urethral flap for devastated urethra. Urology. 2011;78(1):208–13.

    Article  Google Scholar 

  10. 10.

    Zimmern PE, Hadler HR, Leach GE, et al. Transvaginal closure of the bladder neck and placement of a suprapubic catheter for destroyed urethra after long-term indwelling catheterization. J Urol. 1985;134(3):554–7.

    CAS  Article  Google Scholar 

Download references

Author information



Corresponding author

Correspondence to Andrey Petrikovets.

Ethics declarations

Conflicts of interest

AP, HS, DS, ES have nothing to disclose.

AH is part of the speaker bureau for Astellas, Inc.


Written informed consent was obtained from the patient for publication of this video article and any accompanying images.

Electronic supplementary material

(MP4 91,532 kb)

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Petrikovets, A., Sun, H., Sheyn, D. et al. Transvaginal bladder-neck closure: a step-by-step video for female pelvic surgeons. Int Urogynecol J 30, 159–161 (2019).

Download citation


  • Bladder-neck closure
  • Surgical video
  • Neurogenic bladder
  • Chronic Foley catheterization
  • Urethral erosion