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The artificial urinary sphincter. Experience in adults.
1Scott Department of Urology, Baylor College of Medicine, Houston, Texas.
The Urologic Clinics of North America
|February 1, 1989
Summary
This study reviews artificial sphincter implants in 406 adults, comparing valve- and balloon-pressurized devices. Improvements in the prosthesis led to better quality of life and social urinary continence for patients.
Area of Science:
- Urology
- Medical Devices
- Surgical Innovation
Background:
- Urinary incontinence significantly impacts patients' quality of life.
- Artificial sphincters offer a potential solution for managing urinary incontinence.
Purpose of the Study:
- To review the author's experience with artificial sphincter implantation in 406 adult patients.
- To compare early valve-pressurized devices with later balloon-controlled models.
- To assess factors influencing the degree of urinary continence achieved.
Main Methods:
- Review of implantation cases from June 1972 to March 1988.
- Comparison of two artificial sphincter designs: valve-pressurized versus balloon-controlled.
- Assessment of continence based on device model, incontinence etiology, cuff location, and pressure settings.
Main Results:
- Patients reported improved quality of life and social urinary continence.
- Improvements in the artificial sphincter prosthesis contributed to better outcomes.
- The degree of continence was influenced by device model, etiology, cuff placement, and pressure.
Conclusions:
- Artificial sphincter implantation can significantly enhance patients' quality of life.
- Technological advancements in the prosthesis have led to improved urinary continence.
- Further refinements in cuff fitting may yield even superior results in managing incontinence.