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Related Experiment Videos

Artificial urinary sphincter in patients with neurogenic bladder dysfunction

G Singh1, D G Thomas

  • 1Department of Urology, Royal Hallamshire Hospital, Sheffield, UK.

British Journal of Urology
|February 1, 1996
PubMed
Summary

Artificial urinary sphincter (AUS) implantation achieved >90% continence in neuropathic patients with sphincter weakness. Simultaneous cystoplasty is recommended for those with detrusor overactivity to improve outcomes.

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Area of Science:

  • Urology
  • Neurogenic Bladder Dysfunction
  • Urinary Incontinence Management

Background:

  • Sphincter weakness incontinence is a common challenge in patients with neurogenic bladder.
  • Effective management strategies are crucial for improving quality of life.

Purpose of the Study:

  • To evaluate the efficacy of the artificial urinary sphincter (AUS) in managing sphincter weakness incontinence in neuropathic individuals.
  • To assess the role of simultaneous cystoplasty in patients with detrusor overactivity.

Main Methods:

  • A retrospective review of 90 neuropathic patients (mean age 26) who underwent AUS implantation.
  • Pre-operative video-urodynamics confirmed sphincter weakness; 52 patients with intermediate bladders underwent cystoplasty.

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Main Results:

  • Over 90% of patients achieved daytime and nighttime continence with AUS implantation.
  • A 28% re-operation rate was observed, with complications including infections, erosions, and system failures.
  • 78% of patients required intermittent catheterization for high post-voiding residual volumes.

Conclusions:

  • Artificial urinary sphincter (AUS) implantation offers a high continence rate (>90%) for neuropathic patients with sphincter weakness.
  • Simultaneous cystoplasty is recommended for patients with detrusor overactivity to optimize continence.