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Transobturator Taping for the Treatment of Incontinence After Neobladder Reconstruction

Jindal, Tarun MS; Mukherjee, Satyadip MCh; Mandal, Soumendra Nath MCh; Karmakar, Dilip MCh

Female Pelvic Medicine & Reconstructive Surgery: July/August 2013 - Volume 19 - Issue 4 - p 245–246
doi: 10.1097/SPV.0b013e31828aff49
Case Reports

Abstract: Incontinence in the patients with neobladder is a distressing condition. Although conservative management may be helpful in some, a significant number of patients require some form of surgical intervention. Any surgical intervention, especially from the abdominal route can be significantly morbid in these patients because of extensive surgery done previously. There is a need for a technique that can take care of the postoperative incontinence without subjecting the patient to significant surgical risk. Artificial sphincters have been used in male patients but their use in female patients can be technically difficult. There are limited options available for women like transurethral bulking agents and pubovaginal slings. These procedures do not have very good results and female patients often end up with a cutaneous stoma. We, in this report, describe a female patient with incontinence after orthotopic neobladder reconstruction that could be successfully treated with transobturator taping.

We describe a novel technique for the treatment of incontinence in women after neobladder reconstruction by the use of transobturator taping.

From the Department of Urology, Calcutta National Medical College and Hospital, Kolkata, India.

Reprints: Tarun Jindal, MS, Department of Urology, Calcutta National Medical College and Hospital, 92-B, Jhowtala Rd, Kolkata 700017, India. E-mail: drtarunjindal@gmail.com.

The authors have declared they have no conflicts of interest.

© 2013 by Lippincott Williams & Wilkins