bladder neck reconstruction
Surgical procedures designed to create continence mechanisms at the bladder neck in children with neurogenic bladder or exstrophy-epispadias complex.
Full Definition
Bladder neck reconstruction encompasses various surgical techniques aimed at creating or restoring continence mechanisms in children who lack functional bladder outlet resistance, typically those with neurogenic bladder, exstrophy-epispadias complex, or severe bladder neck incompetence. Common approaches include the Young-Dees-Leadbetter technique, Kropp procedure, and Pippi Salle modification. These procedures often involve creating a tubularized segment from the trigone and posterior urethra to establish a competent bladder neck. Success rates vary, and many patients require catheterizable channels for bladder emptying post-operatively.
Usage
Usage note: Specify the surgical technique when known; avoid confusion with simple bladder neck procedures.
In Context
- "The patient underwent bladder neck reconstruction using the Young-Dees-Leadbetter technique." — Operative report
- "Bladder neck reconstruction may be combined with bladder augmentation in complex cases." — Surgical planning notes