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Artificial urinary sphincters. Radiographic evaluation.

T Lorentzen, S Dorph, T Hald

    Acta Radiologica (Stockholm, Sweden : 1987)
    |January 1, 1987
    PubMed
    Summary
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    Radiography effectively evaluates artificial urinary sphincters in patients with urinary incontinence. Postoperative imaging ensures proper device placement and integrity, serving as a baseline for future complication assessment.

    Area of Science:

    • Urology
    • Medical Imaging
    • Biomedical Engineering

    Background:

    • Urinary incontinence affects a select patient group.
    • Artificial urinary sphincters offer effective treatment.
    • The device's hydraulic fluid is radiopaque, enabling radiographic assessment.

    Purpose of the Study:

    • To evaluate the utility of radiography in assessing artificial urinary sphincters.
    • To establish radiography as a tool for immediate postoperative control and baseline assessment.
    • To highlight the importance of multi-projection imaging to detect complications like tube kinking.

    Main Methods:

    • Retrospective review of 110 implanted artificial urinary sphincters.
    • Performance of immediate postoperative radiography.

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  • Radiographic imaging in both deactivated and activated states.
  • Inclusion of multiple projections to identify potential issues.

    • Main Results:

    • Radiography is useful for evaluating the position and integrity of artificial urinary sphincters.
    • Postoperative radiograms serve as a crucial baseline for detecting later complications.
    • Multi-projection imaging is essential to prevent overlooking complications such as tube kinking.

    Conclusions:

    • Radiography is a valuable tool for the effective evaluation of artificial urinary sphincters.
    • Immediate postoperative imaging is recommended for all patients receiving this device.
    • Comprehensive radiographic assessment, including multiple views, improves complication detection.