[Artificial sphincter for urinary incontinence].

Abstract

During the past 4 years 21 patients underwent implantation of the model AS-800 artificial urinary sphincter, 4 of whom underwent simultaneous implantation of an inflatable penile prosthesis. The mean age was 48 years (range 33-73). Incontinence was neurogenic in 12 (57%) and a complication of urologic surgery (mainly prostatectomy) in 9 (43%). In 8, in whom intermittent self-catheterization was planned, the sphincter cuff was implanted around the bladder neck, and in the other 13, around the bulbar urethra. The immediate postoperative course was uneventful in 18 (85%), but 2 (10%) had urinary tract infection and 1 had urinary retention. During a mean follow-up of 20 months (range 1-36), 19 (90%) were found to be continent (in 2 of them the cuff had had to be changed to a smaller size due to tissue atrophy), and 1 had suffered from urgency incontinence which disappeared with anticholinergic medication. In 2 with incontinence due to neurogenic bladder, the sphincter had became infected and had had to be removed; 1 of these 2 had undergone simultaneous augmentation cystoplasty. This experience resulted in a change in our policy: we now implant the sphincter and perform augmentation cystoplasty in 2 separate stages. We find implantation of the artificial urinary sphincter very effective treatment for urinary incontinence.

• Authors: J Ben-Chaim, G Raviv, I Lebovitch, J Ramon, B Goldwasser
• Journal: Harefuah (Harefuah) Vol. 122 Issue 4 Pg. 209-12 (Feb 16 1992) ISSN: 0017-7768 [Print] Israel
• PMID: 1563678 (Publication Type: English Abstract, Journal Article)

Topics

• Adult
• Aged
• Humans
• Male
• Methods
• Middle Aged
• Prostatectomy (adverse effects)
• Urinary Bladder, Neurogenic (complications)
• Urinary Catheterization
• Urinary Diversion
• Urinary Incontinence (etiology, therapy)
• Urinary Sphincter, Artificial