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Related Experiment Videos

The artificial urinary sphincter. Experience in adults.

F B Scott1

  • 1Scott Department of Urology, Baylor College of Medicine, Houston, Texas.

The Urologic Clinics of North America
|February 1, 1989
PubMed
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.

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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.

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