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Further experience with the artificial urinary sphincter.

A Lindner, J J Kaufman, S Raz

    The Journal of Urology
    |May 1, 1983
    PubMed
    Summary
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    Delayed activation of artificial urinary sphincters improves outcomes for patients with severe urinary incontinence. This technique reduced the failure rate from 45% to 36%, offering better results for high-risk individuals.

    Area of Science:

    • Urology
    • Medical Devices
    • Surgical Outcomes

    Background:

    • Severe urinary incontinence affects a significant patient population.
    • Artificial urinary sphincters offer a treatment option for refractory incontinence.
    • Optimizing the use of artificial sphincters is crucial for patient management.

    Purpose of the Study:

    • To evaluate the efficacy of artificial urinary sphincter implantation for severe urinary incontinence.
    • To compare outcomes between simultaneous and delayed activation techniques.
    • To determine if delayed activation reduces the failure rate.

    Main Methods:

    • Retrospective analysis of 78 patients treated with artificial sphincters since December 1977.
    • Categorization of patients into simultaneous (n=53) and delayed (n=25) activation groups.

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  • Assessment of outcomes based on dryness, occasional wetness, and device failure.

    • Main Results:

    • Simultaneous activation resulted in a 45% failure rate (24/53 patients).
    • Delayed activation achieved a lower failure rate of 36% (9/25 patients).
    • Success rates (perfectly dry) were higher with delayed activation (56%) compared to simultaneous (40%).

    Conclusions:

    • Delayed activation of artificial urinary sphincters is associated with a reduced failure rate.
    • This technique is recommended for high-risk patients undergoing artificial sphincter implantation.
    • Optimizing activation timing can improve treatment success in severe urinary incontinence.