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[Artificial urinary sphincter].
F Garćia Montes1, F Gómez Sancha, A Mundy
1Instituto de Urología y Nefrología de Londres, Reino Unido.
Archivos Espanoles De Urologia
|June 14, 2000
Summary
Artificial urinary sphincters offer a viable solution for persistent stress urinary incontinence when other treatments fail. Careful patient selection and surgical technique are key to successful outcomes with this device.
Area of Science:
- Urology
- Medical Devices
- Surgical Innovation
Context:
- Stress urinary incontinence (SUI) remains a significant challenge in urological practice.
- The artificial urinary sphincter (AUS) represents a reconstructive option for managing SUI.
- Literature review from 1974-1999 provides historical and current insights into AUS technology.
Purpose:
- To comprehensively review the literature on artificial urinary sphincters.
- To detail the function, implantation techniques, indications, outcomes, and complications of AUS.
- To evaluate the utility of AUS in treating stress incontinence.
Summary:
- The AMS-800 is the current standard artificial urinary sphincter.
- Excellent results are achievable with correct patient selection and meticulous perioperative management.
- Complications, though reduced with design improvements, include urethral atrophy, erosion, infection, and bladder instability.
Impact:
- Artificial urinary sphincters provide a valuable treatment option for patients with refractory stress urinary incontinence.
- Successful outcomes depend on appropriate patient selection and surgical expertise.
- Ongoing research into new prototypes aims to further minimize complications and improve efficacy.