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Surgical Management of Pediatric Urinary Incontinence

  • Pediatric Urology (M Castellan and R Gosalbez, Section Editors)
  • Published:
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Abstract

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.

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Abbreviations

AC:

Augmentation cystoplasty

BNR:

Bladder neck reconstruction

AUS:

Artificial urinary sphincter

Dx/HA:

Dextranomer hyaluronic acid

BNI:

Bladder neck injection

DSD:

Detrusor sphincter dyssynergia

DLPP:

Detrusor leak point pressure

MACE:

Malone antegrade continence enema

BNC:

Bladder neck closure

MSRE:

Modern staged repair of exstrophy

CPRE:

Complete primary repair of exstrophy

BE:

Bladder exstrophy

NB:

Neurogenic bladder

CIC:

Clean intermittent catheterization

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Conflict of Interest

Dr. Sumit Dave reported no potential conflicts of interest relevant to this article.

Dr. Joao Luiz Pippi Salle reported no potential conflicts of interest relevant to this article.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Authors and Affiliations

  1. Division of Urology, Schulich School of Medicine, Western University, 800 Commissioner’s Road, London, Canada, N6A 5W9

    Sumit Dave

  2. Division of Urology, The Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, Canada, M5G 1XB

    Joao Luiz Pippi Salle

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  1. Sumit Dave
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  2. Joao Luiz Pippi Salle
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Correspondence to Joao Luiz Pippi Salle.

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Dave, S., Salle, J.L.P. Surgical Management of Pediatric Urinary Incontinence. Curr Urol Rep 14, 342–349 (2013). https://doi.org/10.1007/s11934-013-0333-x

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  • DOI: https://doi.org/10.1007/s11934-013-0333-x

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