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Related Experiment Videos

One hundred artificial sphincters.

D E Nurse1, A R Mundy

  • 1Department of Surgery, Guy's Hospital, London.

British Journal of Urology
|April 1, 1988
PubMed
Summary
This summary is machine-generated.

Artificial urinary sphincter (AUS) implantation offers successful treatment for urinary incontinence in 93% of patients. This study indicates AUS is a safe and effective option, even when combined with reconstructive lower urinary tract surgery.

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Area of Science:

  • Urology
  • Medical Devices
  • Surgical Procedures

Background:

  • Urinary incontinence affects a significant patient population.
  • Sphincter weakness incontinence requires effective treatment options.
  • Artificial Urinary Sphincter (AUS) is a potential solution.

Purpose of the Study:

  • To evaluate the efficacy and safety of Artificial Urinary Sphincter (AUS) implantation for urinary incontinence.
  • To assess the outcomes of AUS implantation in patients undergoing concurrent reconstructive lower urinary tract surgery.

Main Methods:

  • Retrospective analysis of 100 patients with urinary incontinence.
  • Implantation of Artificial Urinary Sphincter (AUS).
  • Concurrent reconstructive procedures in 40 patients.

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Main Results:

  • Successful continence achieved in 93% of patients.
  • Overall complication rate of 45%, with 29% sphincter-related.
  • Adjusted complication rate of 13% after excluding specific issues.
  • No contraindications found for simultaneous AUS implantation and reconstructive surgery.

Conclusions:

  • Artificial Urinary Sphincter (AUS) is a satisfactory and successful treatment for sphincter weakness incontinence.
  • AUS implantation can be safely performed concurrently with reconstructive lower urinary tract surgery.
  • Careful consideration of device pressure and neuropathic bladder behavior is important for minimizing complications.