PURPOSE: We investigated the effect of a neurovascular intact gracilis muscle urethral wrap to restore urinary continence in @entity1 with severe stress @entity322 after radical retropubic prostatectomy. MATERIALS AND METHODS: Three @entity1 with @entity3142 after radical retropubic prostatectomy and external beam radiation therapy for @entity420 of the prostate underwent gracilis urethral myoplasty. Video urodynamic evaluation and cystourethroscopy revealed Valsalva leak point pressure of less than 40 cm. water and a damaged urinary sphincter mechanism in all 3 @entity1 . One @entity1 underwent concomitant ileocystoplasty. RESULTS: At 6 to 24-month followup all @entity1 reported improved continence. Mean Valsalva leak point pressure increased from 26.3 +/- 3.2 cm. water before to 83.0 +/- 32.1 cm. water after surgery. The gracilis muscle urethral wrap did not have a deleterious effect on erectile function or ambulation. Complications included 1 wound @entity281 . CONCLUSIONS: An autologous gracilis muscle urinary neosphincter can be constructed in the bulbous urethra in a fashion similar to that of the artificial urinary sphincter with encouraging results in this preliminary series. The gracilis neosphincter may be an alternative to the artificial sphincter, especially in @entity1 at higher risk for complications, such as after radiation and cryotherapy.

Gracilis urethral myoplasty: preliminary experience using an autologous urinary sphincter for XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'man', 'men'] @entity322 :: ('MESH:D014549', 'Disease') :: ['urinary incontinence'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection'] @entity420 :: ('MESH:D000230', 'Disease') :: ['adenocarcinoma'] @entity3142 :: ('MESH:D014550', 'Disease') :: ['stress incontinence']
@entity322 :: (MESH:D014549,Disease) :: ['post-prostatectomy incontinence']
