What treatment do you offer for patients with florid incontinence due to a patulous urethra secondary to chronic catheterization?

If you have adequate urethral length (which is usually not the case in this scenario), you could consider an obstructing fascial sling.

Otherwise, the options are:

1. SP tube, which often does not work due to the urethra being so incompetent, so UI continues
2. Bladder neck closure + SP tube
3. Ileal condui...