Urethral Reconstruction in Patients With Neurogenic Bladder Dysfunction

Jessica T. Casey, Bradley A. Erickson, Neema Navai, Lee C. Zhao, Joshua J Meeks, Chris M. Gonzalez*

*Corresponding author for this work

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Purpose: There is limited literature examining urethral reconstruction in patients with neurogenic bladder dysfunction. We describe our experience of urethral reconstruction in men with concurrent neurogenic bladder. Materials and Methods: A prospectively maintained database of all urethral reconstruction procedures performed by 1 surgeon was analyzed for patients with neurogenic bladder dysfunction. Patient characteristics including the etiology of neurogenic bladder, urethral pathology, urethral reconstructive technique, complications and recurrences were evaluated. Results: A total of 23 patients were included in the analysis. Urethral pathology included erosions (10), strictures (7), diverticula (3), urethrocutaneous fistulas (2), and a combination of diverticular and stricture disease (1). Median length of the urethral pathology was 5.0 cm (range 2.0 to 10.0). Overall urethral reconstruction was successful in 16 of 23 patients (69.6%) at a mean followup of 24.7 months (range 2 to 79). Success rates differed among the types of pathology with 60% for urethral erosions, 85.7% for urethral strictures, and 66.6% for urethral diverticula and fistulas. Of those cases of recurrence 4 of 7 (57%) were after urethral erosion repair. There was 1 (4.3%) postoperative complication and no patient underwent urinary diversion after recurrence. Conclusions: When identified at an early stage, urethral reconstruction in patients with neurogenic bladder dysfunction offers acceptable outcomes with limited morbidity. Men undergoing reconstruction for urethral erosion had inferior outcomes compared to those with other urethral pathology.

Original languageEnglish (US)
Pages (from-to)197-200
Number of pages4
JournalJournal of Urology
Volume180
Issue number1
DOIs
StatePublished - Jul 1 2008

Keywords

  • neurogenic
  • reconstructive surgical procedures
  • spinal cord injuries
  • urethral stricture
  • urinary bladder
  • urinary catheterization

ASJC Scopus subject areas

  • Urology

Fingerprint Dive into the research topics of 'Urethral Reconstruction in Patients With Neurogenic Bladder Dysfunction'. Together they form a unique fingerprint.

  • Cite this

    Casey, J. T., Erickson, B. A., Navai, N., Zhao, L. C., Meeks, J. J., & Gonzalez, C. M. (2008). Urethral Reconstruction in Patients With Neurogenic Bladder Dysfunction. Journal of Urology, 180(1), 197-200. https://doi.org/10.1016/j.juro.2008.03.056