Initial experience with the transurethral self-detachable balloon system for urinary incontinence in pediatric patients.

Abstract

PURPOSE:

A new endoscopic technique to treat urinary incontinence in children using a self-detachable balloon device was studied.

MATERIALS AND METHODS:

The study includes 11 patients with a mean age of 14.6 years and all of whom had intrinsic sphincter deficiency due to myelomeningocele in 9, spinal artery bleed in 1 and cloacal exstrophy in 1. All patients were on clean intermittent catheterization preoperatively and postoperatively. Endoscopic balloon treatment was performed on an outpatient basis. A mean of 5 balloons (range 2 to 8) were placed per patient. All patients underwent formal urodynamic study preoperatively and at 6 weeks and 6 months following balloon placement.

RESULTS:

Of the 9 patients without prior bladder neck surgery 7 had improvement in urodynamic parameters, including urethral pressure profile in all 7 and functional bladder capacity in 6, 4 were markedly improved clinically and 2 were dry. Two patients with prior bladder neck surgery were clinically unchanged following balloon placement, although 1 had urodynamic improvement.

CONCLUSIONS:

Our initial experience with the transurethral self-detachable balloon system as a minimally invasive outpatient procedure to treat urinary incontinence in children has been encouraging. To date this procedure appears most applicable to the patient who has not undergone surgery and has a neurogenic etiology for urinary incontinence.

• Authors: D A Diamond, S B Bauer, A B Retik, A Atala
• Journal: The Journal of urology (J Urol) Vol. 164 Issue 3 Pt 2 Pg. 942-5; discussion 945-6 (Sep 2000) ISSN: 0022-5347 [Print] United States
• PMID: 10958713 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)

Topics

• Adolescent
• Adult
• Child
• Child, Preschool
• Endoscopy (methods)
• Female
• Humans
• Male
• Treatment Outcome
• Urinary Incontinence (surgery)
• Urodynamics