Johnson H W, Weckworth P F, Coleman G U, Arnold W J, Sawatzky B J, Moloney P J, Stewart D
Department of Surgery (Urology), University of British Columbia, Vancouver.
Can J Surg. 1988 Jan;31(1):22-4.
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.
