Periurethral Goretex sling in lower urinary reconstruction

Urethral incontinence in patients with neuropathic bladders remains a manag ement problem not only to urologists but also to the primary carers of thes e patients. It impairs quality of life and encourages social withdrawal, bu t also leads to perineal soreness and inflammation. A number of surgical te chniques have been described to increase bladder outlet resistance in order to render patients with neuropathic bladders perineally dry. We report our experience in achieving dryness with a periurethral Goretex(R) sling in 17 patients.