Rectus Fascial Wrap: Early Results of a Modification of the Rectus Fascial Sling

Dixon R. Walker, Charles E. Flack, Bobbilynn Hawkins Lee, David J. Lim, Herman Parramore, Raymond L. Hackett

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

We describe an operation that increases bladder neck resistance in patients with urinary incontinence. It is a modification of the rectus fascial sling that was designed as an adjunct to augmentation cystoplasty and is used in association with clean intermittent catheterization. The operation is performed by circumferentially wrapping a rectus fascial defatted free graft around the bladder neck and suturing it to appose the bladder neck. The procedure was done in 17 patients, including 10 with myelodysplasia, 3 with sacral lipoma, 3 with bladder exstrophy and 1 with nonneurogenic neurogenic bladder. Leak point pressure improved in patients in whom it was measured preoperatively and postoperatively. Complications developed in 5 patients, including difficulty with catheterization in 2, ventral hernia at the graft harvest site in 1, bladder calculus in 1 and detrusor hyperreflexia in 1. Early results with the bladder fascial wrap indicate that it has the ability to improve continence in patients with a dysfunctional bladder neck who have undergone augmentation.

Original languageEnglish (US)
Pages (from-to)771-774
Number of pages4
JournalThe Journal of Urology
Volume154
Issue number2
DOIs
StatePublished - Jan 1 1995
Externally publishedYes

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Urinary Bladder
Intermittent Urethral Catheterization
Bladder Exstrophy
Ventral Hernia
Urinary Bladder Calculi
Transplants
Abnormal Reflexes
Neurogenic Urinary Bladder
Lipoma
Urinary Incontinence
Catheterization
Pressure

ASJC Scopus subject areas

  • Urology

Cite this

Walker, D. R., Flack, C. E., Lee, B. H., Lim, D. J., Parramore, H., & Hackett, R. L. (1995). Rectus Fascial Wrap: Early Results of a Modification of the Rectus Fascial Sling. The Journal of Urology, 154(2), 771-774. https://doi.org/10.1016/S0022-5347(01)67159-3

Rectus Fascial Wrap : Early Results of a Modification of the Rectus Fascial Sling. / Walker, Dixon R.; Flack, Charles E.; Lee, Bobbilynn Hawkins; Lim, David J.; Parramore, Herman; Hackett, Raymond L.

In: The Journal of Urology, Vol. 154, No. 2, 01.01.1995, p. 771-774.

Research output: Contribution to journalArticle

Walker, DR, Flack, CE, Lee, BH, Lim, DJ, Parramore, H & Hackett, RL 1995, 'Rectus Fascial Wrap: Early Results of a Modification of the Rectus Fascial Sling', The Journal of Urology, vol. 154, no. 2, pp. 771-774. https://doi.org/10.1016/S0022-5347(01)67159-3
Walker, Dixon R. ; Flack, Charles E. ; Lee, Bobbilynn Hawkins ; Lim, David J. ; Parramore, Herman ; Hackett, Raymond L. / Rectus Fascial Wrap : Early Results of a Modification of the Rectus Fascial Sling. In: The Journal of Urology. 1995 ; Vol. 154, No. 2. pp. 771-774.
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