Surgical Reconstruction for Complete Urinary Incontinence: A 10 To 22-year Followup

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Abstract
A 22 yr followup study was performed on 27 children and 7 adults treated surgically for complete urinary incontinence. The etiology of the incontinence was iatrogenic, traumatic or congenital. The patients had undergone a urethral reconstruction that created a physiological sphincter by ureteral reimplantation and trigonal tubularization. Success was defined if a patient was dry with no leakage or stress urinary incontinence, partial success was noted if the patient wore 1-3 perineal pads/day that were moist to damp. Of 7 adults, 4 (57%) were dry and 2 (29%) were considered a partial success, compared to 19 (70%) and 1 (3%), respectively, of 27 children. Postoperatively, no significant residual urine was present; the excretory urograms were normal. Failures and alternative treatments for failures are discussed.

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