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Long-term experience with the double-cuff AMS 800 artificial urinary sphincter
J J Kowalczyk1, D L Spicer, J J Mulcahy
1Department of Urology, Indiana University Medical Center, Indiana University School of Medicine at Indianapolis, USA.
Urology
|June 1, 1996
Summary
The double-cuff artificial urinary sphincter is a safe and effective treatment for severe postprostatectomy urinary incontinence. Long-term data shows high success rates in managing incontinence with minimal complications.
Area of Science:
- Urology
- Medical Devices
Background:
- Postprostatectomy urinary incontinence is a common complication affecting quality of life.
- Artificial urinary sphincters are a treatment option, with various designs available.
Purpose of the Study:
- To evaluate the long-term efficacy and safety of the double-cuff artificial urinary sphincter.
- To assess complication rates and patient outcomes in managing severe urinary incontinence.
Main Methods:
- Retrospective chart review of 95 patients treated between December 1986 and November 1995.
- Data collection focused on the degree of urinary incontinence and any associated complications.
Main Results:
- The double-cuff system demonstrated a 97.6% success rate in keeping patients dry among 86 patients with the device.
- Complications included 10.5% cuff erosions and 1.1% infection, necessitating device removal in some cases.
- Two patients with erosions successfully had the double-cuff system reinserted.
Conclusions:
- The tandemly placed double-cuff artificial urinary sphincter is a safe and effective solution for severe postprostatectomy urinary incontinence.
- The device offers a high degree of continence with manageable complication rates.