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The artificial urinary sphincter in children
Insights
The AS792 artificial urinary sphincter offers excellent results for pediatric urinary incontinence, with high success rates achievable through careful patient selection and surgical technique.
Area of Science:
- Pediatric Urology
- Medical Devices
- Surgical Outcomes
Background:
- Urinary incontinence in children poses significant challenges.
- Artificial urinary sphincters are a treatment option for severe cases.
- Evaluating the efficacy and safety of specific devices is crucial.
Purpose of the Study:
- To assess the outcomes of the AS792 artificial urinary sphincter in pediatric patients.
- To determine the success rates, complication rates, and device survival.
- To evaluate the reliability of this device for managing pediatric urinary incontinence.
Main Methods:
- Retrospective review of 132 pediatric patients who received the AS792 artificial urinary sphincter.
- Analysis of surgical outcomes, including success rates, need for revision surgery, device removal, and infection incidence.
- Data collected over a 5-year period.
Main Results:
- 90% of patients achieved excellent results with the AS792 artificial urinary sphincter.
- 24% of patients required secondary surgery for device malfunction.
- Device removal occurred in 5.3% of cases, with a 3.8% infection rate.
Conclusions:
- The AS792 artificial urinary sphincter is a reliable option for treating urinary incontinence in children.
- High success rates are attainable with meticulous surgical technique and appropriate patient selection.
- Careful management can mitigate risks such as malfunction and infection.
Abstract:
One hundred and thirty-two children underwent implantation of the AS792 artificial urinary sphincter over the past 5 years: 90% had an excellent result following the implantation. Thirty-one patients (24%) required further surgery to correct a malfunction of the device. The device was removed in 5.3% of the patients and the incidence of infection was 3.8%. The artificial urinary sphincter has been shown to be a reliable means of achieving urinary incontinence in children. With attention to patient selection and meticulous surgical technique, a high success rate can be expected.