Combined modified rectus fascial sling and augmentation ileocystoplasty for neurogenic incontinence in women.

PURPOSE

We assessed results of a combined modified rectus fascial sling procedure and augmentation ileocystoplasty in women with neurogenic urinary incontinence.

MATERIALS AND METHODS

We prospectively evaluated 21 patients (mean followup 28.6 months).

RESULTS

A total of 20 patients (95.2%) was dry during the day on intermittent catheterization and none had difficulty with catheterization. Subsequently surgery was necessary in 1 case for perforation of the augmented bladder.

CONCLUSIONS

A combined modified rectus fascial sling procedure and augmentation ileocystoplasty are safe and effective when all available pharmacological treatments and clean intermittent catheterization have failed.