BACKGROUND Recipient vessel selection in head and neck reconstruction using free flap transfers has to be standardized. However, the recipient vessel selection based on the type of neck dissection has yet to be investigated. We describe the relationship between the type of neck dissection and recipient vessel. METHODS Records of 107 consecutive patients who had undergone head and neck reconst...

Bladder exstrophy is a very rare congenital disorder, in which the first stage of reconstruction is usually performed within the first 72 hours of life. The most feared form of failure of the reconstruction is postoperative dehiscence of the bladder and abdominal wall. We present an 11-year-old girl with bladder exstrophy. She underwent three iliac bone supra-acetabular osteotomies with repair ...

may then be taken both to achieve urinary, continence and to preserve upper tract function. The common surgical procedures carried out incluide bladder neck reconstruction, bladder augmentation, and the placement of the artificial urinary sphincter. Perioperative urodynamic studies in children undergoing such procedures are standard practice in most major centres. End stage renal disease in chi...

BACKGROUND Bladder reconstruction in the pediatric population is challenging for many reasons, including perioperative complications and readmissions. OBJECTIVES On a national scale, determine readmission rates at 30, 60 and 90 days after bladder reconstruction in a pediatric population over a 7-year period, evaluating the influence of hospital and patient-specific variables. PATIENTS AND M...

The standard of care after a pelvic fracture urethral injury is a repair via a one-stage anastomotic posterior urethroplasty using a step-wise perineal approach. The initial injury, immediate postoperative management, and surgical repair can all affect urinary continence in these patients. Proximal continence mechanisms, particularly the bladder neck, are particularly important in maintaining u...

When bladder function is permanently disorganized by syphilis of the central nervous system, measures may have to be taken for the relief of symptoms, elimination of residual urine, and prevention or eradication of urinary sepsis. In the past, there were no means by which these aims could be satisfactorily achieved. In recent years, the successful management of cord bladder by transurethral res...

Underactive bladder (UAB) or detrusor underactivity (DU) is a common yet still poorly understood urological problem. In addition to true detrusor failure and neuropathy, the inhibitory effects of detrusor contraction by the striated urethral sphincter and the bladder neck through alpha-adrenergic activity may also play a role in the development of UAB or DU. Treatment of UAB or DU aims to reduc...

BACKGROUND AND PURPOSE The mechanism by which clinical improvement occurs through pelvic floor muscle training (PFMT) for genuine stress incontinence, detrusor instability, or mixed incontinence is not established. Videourodynamic assessment of the anatomical changes of the pelvic floor muscles has not been reported. This study investigated the anatomical change of bladder base descent as well ...