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Experience with the penile prosthesis and artificial urinary sphincter.
C O Bruning1, D S Breslin, A Morgentaler
1Male Infertility and Impotency Center, Boston, Massachusetts 02215, USA.
Journal of Long-Term Effects of Medical Implants
|December 9, 1994
Summary
Hydraulic mechanics principles have revolutionized treatments for erectile dysfunction and urinary stress incontinence using inflatable penile prostheses and artificial urinary sphincters. Innovations address device complications and host immune responses, improving patient outcomes.
Area of Science:
- Urology
- Biomedical Engineering
- Medical Device Technology
Background:
- Erectile dysfunction and urinary stress incontinence are common urologic conditions.
- Silicone prosthesis implantation has advanced significantly in the last two decades.
- Hydraulic mechanics principles are integral to modern urologic device design.
Purpose of the Study:
- To review the therapeutic applications of hydraulic principles in urologic prostheses.
- To discuss the use and complications of inflatable penile prostheses and artificial urinary sphincters.
- To highlight technological innovations stemming from adverse effects of these devices.
Main Methods:
- Review of literature on silicone prosthesis implantation for urologic conditions.
- Analysis of the application of hydraulic mechanics in device design.
- Examination of complications and resulting technological advancements.
Main Results:
- Inflatable penile prostheses effectively treat male impotence.
- Artificial urinary sphincters are widely used for stress incontinence in diverse populations.
- Complications are associated with anatomical site and host immune response.
Conclusions:
- Hydraulic mechanics have transformed urologic prosthesis therapy.
- Ongoing innovations aim to mitigate device-related complications.
- These devices offer significant therapeutic benefits for specific urologic conditions.