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Related Experiment Videos

The artificial sphincter for urinary continence.

R L Kroovand

    Developmental Medicine and Child Neurology
    |August 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Artificial urinary sphincters effectively treat urinary incontinence in children, with most achieving daytime and nighttime dryness. Some require clean intermittent catheterization for bladder emptying, and device erosion is a rare complication.

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    Area of Science:

    • Pediatric Urology
    • Biomedical Engineering
    • Device-Assisted Therapy

    Background:

    • Urinary incontinence in children presents significant challenges.
    • Artificial urinary sphincters offer a potential solution for refractory cases.
    • Assessing long-term efficacy and safety in pediatric populations is crucial.

    Purpose of the Study:

    • To evaluate the effectiveness and safety of artificial urinary sphincters in treating pediatric urinary incontinence.
    • To assess continence rates, bladder emptying capabilities, and device-related complications.
    • To determine the impact of somatic growth on device function in children.

    Main Methods:

    • Implantation of artificial urinary sphincters in 30 incontinent children aged 4-17 years.
    • Follow-up assessments ranging from 3 months to 4 years.

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  • Evaluation of daytime/nighttime continence, bladder voiding, and need for clean intermittent catheterization.

    • Main Results:

    • 28 out of 30 children achieved significant daytime and nighttime continence.
    • 18 children demonstrated complete bladder emptying; 10 required clean intermittent catheterization.
    • No device revisions were necessary due to somatic growth; two devices were removed due to erosion.

    Conclusions:

    • Artificial urinary sphincters demonstrate high efficacy in managing pediatric urinary incontinence.
    • The devices are generally safe and well-tolerated, with minimal impact from somatic growth.
    • Clean intermittent catheterization may be necessary for complete bladder emptying in some pediatric patients.