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Incontinence, intermittent self-catheterization and the artificial genitourinary sphincter
The Journal of Urology
|August 1, 1984
Summary
Artificial urinary sphincters can be safely used with intermittent self-catheterization for patients with incontinence and poor bladder emptying. This approach avoids cuff erosions and improves bladder management.
Area of Science:
- Urology
- Medical Devices
Background:
- Artificial urinary sphincters (AUS) are standard for treating stress urinary incontinence.
- Complete bladder emptying is typically required for successful AUS implantation.
Purpose of the Study:
- To evaluate the safety and efficacy of combining artificial urinary sphincters with intermittent self-catheterization (ISC).
- To determine optimal placement of the AUS cuff in patients requiring ISC.
Main Methods:
- Retrospective review of 22 patients with AUS who also performed ISC.
- Analysis of complications, particularly cuff erosions.
- Assessment of AUS cuff placement in relation to ISC.
Main Results:
- No cuff erosions were observed in the 22 patients.
- 11 patients used ISC for over 30 months without complications.
- Bladder neck cuff placement is recommended for patients needing ISC.
Conclusions:
- Artificial urinary sphincters can be safely combined with intermittent self-catheterization.
- This combined approach is suitable for patients with sphincteric incontinence and impaired bladder contractility.
- Optimal cuff placement is crucial for patients requiring ISC post-AUS implantation.