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Case Reports in Urology
Volume 2019, Article ID 6182397, 4 pages
https://doi.org/10.1155/2019/6182397
Case Report

Use of Cadaveric Pericardial Tissue in the Surgical Treatment of Neurogenic Bladder

1West Virginia University School of Medicine, Morgantown, WV 26506, USA
2Department of Obstetrics & Gynecology, West Virginia University School of Medicine, Morgantown, WV 26506, USA
3Department of Urology, West Virginia University School of Medicine, Morgantown, WV 26506, USA

Correspondence should be addressed to Robert E. Shapiro; ude.uvw.csh@oripahsr

Received 30 April 2019; Accepted 4 July 2019; Published 15 July 2019

Academic Editor: Sigurdur Gudjonsson

Copyright © 2019 Madison Caja et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The surgical treatments for neurogenic bladder are extremely variable. The lack of specific treatment guidelines makes this disease process even more challenging to treat. We present a case of a 55-year-old female with neurogenic bladder secondary to spinal cord injury (SCI). Her incontinence was conservatively managed with indwelling Foley drainage. Despite continued upsizing of the Foley catheters, the patient continued to have urinary leakage. The patient subsequently underwent a transvaginal bladder neck closure (BNC) with suprapubic bladder neck diversion (SPC). The urethra was successfully closed and uniquely supported with the use of cadaveric pericardial tissue (CPT). This surgical approach of neurogenic bladder provides durable continence with short operative times, minimal patient morbidity, decreased hospital length, and low risk of progressive renal dysfunction. BNC with SPC can provide an excellent management solution for neurogenic bladder from spinal cord injury refractory to conservative management.