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Related Experiment Videos

[Artificial sphincter for urinary incontinence].

J Ben-Chaim1, G Raviv, I Lebovitch

  • 1Dept. of Urology, Chaim Sheba Medical Center, Tel Hashomer.

Harefuah
|February 16, 1992
PubMed
Summary
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The AS-800 artificial urinary sphincter is highly effective for treating urinary incontinence, with 90% of patients achieving continence. A change in surgical policy now recommends separate stages for sphincter implantation and augmentation cystoplasty.

Area of Science:

  • Urology
  • Medical Devices
  • Surgical Innovation

Context:

  • The study evaluated the efficacy and safety of the AS-800 artificial urinary sphincter in managing urinary incontinence.
  • Patients presented with diverse etiologies of incontinence, including neurogenic causes and post-surgical complications.

Purpose:

  • To assess the outcomes of artificial urinary sphincter implantation for urinary incontinence.
  • To determine the effectiveness and complication rates associated with the AS-800 model.
  • To inform surgical practice regarding the management of complex incontinence cases.

Summary:

  • Twenty-one patients received the AS-800 artificial urinary sphincter, with cuff placement at the bladder neck or bulbar urethra.
  • Postoperative outcomes showed high rates of continence (90%) but also noted complications such as infection and retention.

Related Experiment Videos

  • Two cases of sphincter removal due to infection led to a revised surgical approach, advocating for staged procedures when augmentation cystoplasty is also required.

    • Impact:

    • The AS-800 artificial urinary sphincter demonstrates significant effectiveness in restoring continence.
    • Findings support a staged surgical approach for patients requiring both artificial urinary sphincter implantation and augmentation cystoplasty.
    • This research contributes to optimizing treatment strategies for patients suffering from severe urinary incontinence.