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The Pippi Salle urethral lengthening procedure; experience and outcome from three United Kingdom centres
Author(s) -
Hayes,
Bulusu,
Terry,
Mouriquand,
Malone
Publication year - 1999
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1046/j.1464-410x.1999.00264.x
Subject(s) - medicine , urinary incontinence , surgery
Objective To assess the outcome of the Pippi Salle (Kropp onlay) urethral lengthening procedure in the treatment of neuropathic urinary incontinence. Patients and methods Twenty‐eight patients (12 males and 16 females, mean age at surgery 12.6 years, range 7–32) were identified who underwent the procedure between 1993 and 1997 in the United Kingdom. Outcomes were assessed by a review of the case notes. Results Of the 28 patients, 18 (64%) were rendered continent by day, and 17 (61%) by day and night. Twelve of the 16 females were completely dry, and a further girl was dry by day, giving overall daytime continence in 13 patients; five males were rendered continent ( P =0.03, chi‐square test). Four patients required revision surgery; in five patients (two females and three males) the method was abandoned and they underwent an alternative procedure, and a further four are being reassessed. Conclusion The Pippi Salle procedure should be considered as a first‐line treatment option for neuropathic incontinence in females. Its place in the management of incontinent males is less convincing.