Fascial sling correction of kinked efferent limb in patients with continent diversion and catheterization difficulty.

Publication/Presentation Date

7-1-1996

Abstract

PURPOSE: We determined the efficacy of using a rectus fascial sling to revise an angulated efferent limb in patients with continent urinary diversion and difficulty with intermittent catheterization.

MATERIALS AND METHODS: Two spinal cord injured women who underwent modified Indiana pouch urinary diversion required revision of each efferent limb because of difficulty with catheterization. A strip section of anterior rectus sheath was harvested and used to fix the efferent limb in position, assuring freedom from angulation and facilitating catheterization.

RESULTS: Both patients remained continent for more than 2 years postoperatively and neither had further difficulties with catheterization or required additional surgery.

CONCLUSIONS: Use of the rectus fascial sling in continent urinary diversion enables fixation of the efferent limb to facilitate catheterization and enhance continence.

Volume

156

Issue

1

First Page

162

Last Page

163

ISSN

0022-5347

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

8648782

Department(s)

Administration and Leadership

Document Type

Article

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