Sidhartha Kalra, Siddhant Bolar, Rajat Mudhol, Shiva Gour
{"title":"Healing with precision - Robotic Mitrofanoff procedure with autologous pubovaginal sling in neurogenic incontinence.","authors":"Sidhartha Kalra, Siddhant Bolar, Rajat Mudhol, Shiva Gour","doi":"10.4103/iju.iju_122_25","DOIUrl":null,"url":null,"abstract":"<p><p>A 21-year-old obese female presented with urinary incontinence and lower limb weakness after a D11-L3 laminectomy for spinal teratoma. Evaluation revealed a patulous urethra with video-urodynamic study suggestive of hyposensory, hypocontractile bladder of 500 ml capacity with open bladder neck, intrinsic sphincter deficiency, and good compliance. Due to obesity, perineal hypoesthesia, and clean intermittent catheterization (CIC) challenges, a robotic Mitrofanoff channel and continent bladder neck (tensor fascia lata graft) were planned. Tension-free channel was achieved by removing one row of staples to increase channel length, use of indocyanine green intraoperatively to assess vascularity, and umbilicus as site of Mitrofanoff to avoid thick pannus. At 3-months' follow-up, the patient performed CIC comfortably every 5 h and was continent.</p>","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"41 3","pages":"230-231"},"PeriodicalIF":0.9000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12315592/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Urology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/iju.iju_122_25","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
A 21-year-old obese female presented with urinary incontinence and lower limb weakness after a D11-L3 laminectomy for spinal teratoma. Evaluation revealed a patulous urethra with video-urodynamic study suggestive of hyposensory, hypocontractile bladder of 500 ml capacity with open bladder neck, intrinsic sphincter deficiency, and good compliance. Due to obesity, perineal hypoesthesia, and clean intermittent catheterization (CIC) challenges, a robotic Mitrofanoff channel and continent bladder neck (tensor fascia lata graft) were planned. Tension-free channel was achieved by removing one row of staples to increase channel length, use of indocyanine green intraoperatively to assess vascularity, and umbilicus as site of Mitrofanoff to avoid thick pannus. At 3-months' follow-up, the patient performed CIC comfortably every 5 h and was continent.
期刊介绍：
Indian Journal of Urology-IJU (ISSN 0970-1591) is official publication of the Urological Society of India. The journal is published Quarterly. Bibliographic listings: The journal is indexed with Abstracts on Hygiene and Communicable Diseases, CAB Abstracts, Caspur, DOAJ, EBSCO Publishing’s Electronic Databases, Excerpta Medica / EMBASE, Expanded Academic ASAP, Genamics JournalSeek, Global Health, Google Scholar, Health & Wellness Research Center, Health Reference Center Academic, Hinari, Index Copernicus, IndMed, OpenJGate, PubMed, Pubmed Central, Scimago Journal Ranking, SCOLOAR, SCOPUS, SIIC databases, SNEMB, Tropical Diseases Bulletin, Ulrich’s International Periodical Directory
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