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The artificial urinary sphincter in children.

J K Light, F B Scott

    British Journal of Urology
    |February 1, 1984
    PubMed
    Summary

    The AS792 artificial urinary sphincter offers excellent results for pediatric urinary incontinence, with high success rates achievable through careful patient selection and surgical technique.

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    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.

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