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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
PubMed
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.

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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.

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