Female acquired urinary incontinence is a clinical challenge.This article reported a female patient who had urinary incontinence after excessive urethral caruncle resection.Urodynamics showed effective urethral length was 1.6 cm and maximal urethral pressure was 41 cm cmH2O(1 cmH2O=0.133 kPa).Urethroscopy showed urethral length was about 2 cm,urethral sphincter function was good,and urethral stricture was absent.The patient has undergone robot-assisted modified Leadbetter bladder neck reconstruction.The surgery was successfully completed without intraoperative complications.Urinary catheter was removed at 4 weeks after surgery,and the patient has complete urinary continence with unobstructed voiding.After 3 months of follow-up,the patient still has unobstructed voiding and urinary continence.
Urinary incontinenceAcquiredModified bladder neck reconstructionRobot-assisted surgery