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Related Experiment Videos

Urinary tract deterioration associated with the artificial urinary sphincter.

D R Roth, P R Vyas, R L Kroovand

    The Journal of Urology
    |March 1, 1986
    PubMed
    Summary

    Artificial sphincter implantation in children shows high continence rates but requires lifelong monitoring. Long-term follow-up revealed potential bladder and upper tract complications, necessitating ongoing urodynamic and radiological assessments.

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    PELLAGRA IN AN HIV-INFECTED INDIVIDUAL: A CAUSE OF CHRONIC DIARRHOEA.

    Medical journal, Armed Forces India·2017

    Area of Science:

    • Pediatric Urology
    • Urological Devices

    Background:

    • Artificial sphincter implantation has improved outcomes for urinary incontinence.
    • Recent series report reduced complications and high continence rates nearing 90%.

    Purpose of the Study:

    • To evaluate long-term outcomes of artificial sphincter implantation in pediatric patients.
    • To identify potential delayed complications beyond initial follow-up.

    Main Methods:

    • Retrospective analysis of 47 pediatric patients with artificial sphincter implants.
    • In-depth radiological and urodynamic evaluations preoperatively and during follow-up.

    Main Results:

    • Initially excellent results were observed in all patients.
    • Transient hydronephrosis occurred in 5 children due to incomplete bladder emptying.

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  • Persistent rigid, noncompliant bladder dynamics were noted in 7 children.
  • Complications arose despite thorough preoperative assessments and suitability for the device.

    • Conclusions:

    • Artificial sphincters can lead to delayed bladder and upper tract deterioration, even without urinary leakage.
    • Indefinite, lifelong monitoring is crucial for children with artificial sphincters.
    • Semiannual upper tract assessment and periodic urodynamic evaluations are recommended.