PFD Week 2016-Bladder Augment with Bladder Neck Closure and Continent Stoma

Bladder Augment with Bladder Neck Closure and Continent Stoma

Video Transcription

Video Summary

In this video, a 54-year-old female presents with recurrent urinary tract infections, hematuria, abdominal pain, and stress urinary incontinence. Cystourethroscopy reveals eroded mesh in the urethra and bladder, alongside two large stones attached to the mesh. During surgery to remove the mesh, it is discovered that the urethra is nearly disconnected from the bladder neck. The urethra is reattached in a two-layered fashion. At her three-month follow-up, the patient still experiences stress urinary leakage. Video urodynamics confirm low bladder capacity with sphincter deficiency. The patient opts for a bladder neck closure, bladder augment, and continent diversion procedure. The surgery is successful, and the patient is discharged on post-operative day 5.

Asset Subtitle

Jennifer Yeung, DO

Meta Tag

Category Complications

Category Urinary Incontinence

Category Surgery - Novel Procedures

Keywords

urinary tract infections

hematuria

abdominal pain

stress urinary incontinence

mesh erosion