PD22-12 BLADDER NECK/URETHRAL CLOSURE IN WOMEN USING A CONTINENT CUTANEOUS DIVERSION AND SUFFERING REFRACTORY URETHRAL URINARY INCONTINENCE

INTRODUCTION AND OBJECTIVES:The objective of this study is to analyze the outcome of bladder neck/urethral closure as a treatment option for neurogenic and malformative stress incontinence in women with a continent cutaneous diversion (CCD).METHODS:This single-center historic database included 233 patients (167 females and 66 males) with a CCD, performed between 2001 and 2017. Fourteen female patients underwent a bladder neck/urethral closure. Data on patient and surgical characteristics, previous stress incontinence surgeries and full urethral continence at last follow-up were analyzed.RESULTS:A total of 10 transabdominal and 4 transvaginal bladder neck/urethral closure procedures were performed. Seven of the 14 patients failed previous stress urinary incontinence procedures before undergoing bladder neck/urethral closure. From the 7 patients with no prior history of anti-incontinence surgery, 3 presented bladder neck and urethral destruction due to long-term indwelling catheter, 2 presented an extensive...