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Continent urinary diversion using an artificial urinary sphincter.

P Mitrofanoff1, O Bonnet, M P Annoot

  • 1Paediatric Surgery Clinic, Centre Hospitalier Universitaire, Rouen, France.

British Journal of Urology
|July 1, 1992
PubMed
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A simplified artificial urinary sphincter (AUS) method creates continent urinary diversions. This technique uses an injection port for adjustable pressure, successfully treating leakage and converting conduits in initial patient cases.

Area of Science:

  • Urology
  • Surgical Innovation

Background:

  • Continent urinary diversion is crucial for managing bladder dysfunction.
  • Existing methods can face challenges like leakage or complexity.

Observation:

  • A modified artificial urinary sphincter (AUS) with a subcutaneous injection port was developed.
  • The device allows precise, adjustable pressure control for continent stomas.

Findings:

  • The modified AUS system was effective in 3 dogs and 2 human patients.
  • It successfully managed secondary leakage in a neuropathic bladder case and converted a conduit to a continent reservoir in a rhabdomyosarcoma patient.

Implications:

  • This technique offers a simplified approach to achieving continent urinary diversion.

Related Experiment Videos

  • It shows promise for treating leakage and creating continent reservoirs, with ongoing long-term evaluation.