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Urethral pressure profilometry in Scott artificial urinary sphincter.
D H Lowe1, H C Scherz, C L Parsons
1Department of Surgery, University of California, San Diego, La Jolla.
Urology
|January 1, 1988
Summary
The Scott sphincter implant improved continence in men with urinary incontinence. Urethral pressure profilometry helped optimize results and minimize risks like erosion.
Area of Science:
- Urology
- Medical Devices
Background:
- Urinary incontinence affects many men, impacting quality of life.
- Artificial urinary sphincter implantation is a treatment option.
- Optimizing device placement and function is crucial for success.
Purpose of the Study:
- To evaluate the efficacy of Scott sphincter models AS 791 and AS 800.
- To assess the role of urethral pressure profilometry in managing these devices.
- To improve continence rates and reduce complications such as erosion.
Main Methods:
- Implantation of Scott sphincter models AS 791/AS 800 in 22 male patients.
- Intraoperative and postoperative urethral pressure profilometry (UPP).
- Measurement of urethral closure pressure (UCP) to guide management.
Main Results:
- Successful outcomes in 20 out of 24 patients.
- UPP provided valuable data for optimizing device performance.
- Demonstrated potential to reduce erosion risk through precise pressure measurement.
Conclusions:
- Scott sphincter models show promise for treating male urinary incontinence.
- Urethral pressure profilometry is a valuable tool for managing artificial urinary sphincters.
- This technique aids in achieving optimal continence and minimizing adverse events.