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Artificial urinary sphincter implantation after pubectomy for bone tumor
K T Nielsen1, D E Goldrath, R C Bruskewitz
1William S. Middleton Veterans Administration Hospital, Madison, Wisconsin.
The Journal of Urology
|February 1, 1989
Summary
Surgical removal of pubic bone tumors can lead to stress incontinence. Artificial sphincter implantation effectively treated incontinence in two patients, restoring continence.
Area of Science:
- Urology
- Oncology
- Reconstructive Surgery
Background:
- Pubic bone tumors, including chondrosarcoma and giant cell tumors, necessitate surgical excision.
- Post-surgical stress urinary incontinence can occur due to altered pelvic anatomy and support structures.
Observation:
- Two patients underwent unilateral and bilateral excision of pubic bone tumors.
- Both patients developed postoperative stress urinary incontinence, unresponsive to traditional bladder neck suspension.
Findings:
- Implantation of an artificial urinary sphincter (AUS), specifically the AMS800 device, successfully corrected stress incontinence in both cases.
- Restoration of continence was achieved following AUS implantation, indicating its efficacy in managing complex incontinence.
Implications:
- Artificial urinary sphincter implantation is a viable solution for stress incontinence following extensive pelvic tumor surgery.
- This approach offers a method to improve quality of life for patients experiencing debilitating incontinence after oncological resections.