A SIMPLIFIED KROPP PROCEDURE FOR INCONTINENCE

Purpose: A simplified Kropp bladder neck reconstruction was done to ac hieve urinary continence. Materials and Methods: A total of 23 patient s with an incompetent bladder neck underwent the procedure, including 22 with a neurogenic bladder secondary to myelodysplasia and 1 with bl adder exstrophy. The bladder neck operation was incorporated into comp rehensive lower tract reconstruction that included simultaneous augmen tation cystoplasty in 20 patients, ureteroneocystostomy in 6 and appen dicovesicostomy in 6. Results: Of the 23 patients 21 (91%) are contine nt. Complications included difficult catheterization in boys and new o nset vesicoureteral reflux. Conclusions: This operation is easily perf ormed and effective for achieving continence.