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  • Title: Bladder-outlet reconstruction in neurogenic bladder due to myelomeningocele.
    Author: Johnson HW, Weckworth PF, Coleman GU, Arnold WJ, Sawatzky BJ, Moloney PJ, Stewart D.
    Journal: Can J Surg; 1988 Jan; 31(1):22-4. PubMed ID: 3337968.
    Abstract:
    In a subgroup of children with myelomeningocele, urinary incontinence cannot be managed by clean intermittent catheterization and anticholinergic medication. The authors report on 24 such children who required bladder-outlet reconstruction. Twelve boys underwent the Young-Dees/Leadbetter procedure, 8 girls underwent the Burch procedure and the remaining 4 had a combination of the two. Augmentation cystoplasty was also carried out in seven girls and one boy. Results were most favourable in the girls, with improvement in 92%, in contrast to the boys in whom only 58% were improved. Artificial sphincter placement may be a more beneficial alternative for boys.
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