Related Experiment Videos
Long-term clinical results using the artificial urinary sphincter around bowel
1Scott Department of Urology, Baylor College of Medicine, Houston.
British Journal of Urology
|July 1, 1989
Summary
Artificial urinary sphincters successfully enabled normal urination in four patients after bladder reconstruction using bowel segments. This technique provides a reliable solution for urinary continence, with long-term follow-up demonstrating its efficacy.
Area of Science:
- Urology
- Surgical Reconstruction
- Medical Devices
Background:
- Bladder reconstruction using bowel segments can result in a lack of natural urinary continence.
- Restoring functional urination after complex reconstructive surgery presents significant clinical challenges.
Observation:
- Four patients underwent bladder reconstruction with bowel segments, necessitating a method to achieve urinary continence.
- An artificial urinary sphincter cuff was adapted and placed around the bowel segment to act as a neosphincter.
Findings:
- The adapted artificial urinary sphincter cuff successfully provided urinary continence, enabling "normal" urination in all four patients.
- Clinical and experimental data indicate that bowel segments can tolerate compression from the artificial urinary sphincter cuff.
- Successful application requires the absence of infection and maintaining cuff pressure below 80 cm of water.
- Follow-up periods ranged from 1.5 to 11 years, demonstrating sustained efficacy.
Implications:
- This reconstructive approach offers a viable method for achieving urinary continence after bowel-based bladder augmentation.
- The use of artificial urinary sphincter components provides a potentially durable solution for managing incontinence in these complex cases.
- Further research into optimal pressure parameters and long-term tissue response is warranted for refining this technique.