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[An artificial urinary bladder sphincter for men]

T Hanus1, J Dvorácek, R Kocvara

  • 1Urologická klinika 1. LF UK, Praha.

Rozhledy V Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti
|January 1, 1997
PubMed
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Artificial urinary sphincter implantation effectively treats incontinence caused by urethral closure mechanism insufficiency. This advanced treatment helps patients regain independence, despite potential complications and cost.

Area of Science:

  • Urology
  • Medical Devices
  • Surgical Procedures

Context:

  • Urinary incontinence significantly impacts patients' quality of life, causing medical, social, and hygienic issues.
  • Urethral closure mechanism insufficiency, often resulting from prostatectomy or neurogenic bladder dysfunction, is a primary cause of male incontinence.
  • The artificial urinary sphincter (AMS 800) is a leading surgical solution for managing severe urinary incontinence.

Purpose:

  • To evaluate the efficacy and safety of the artificial urinary sphincter (AMS 800) in treating male urinary incontinence.
  • To assess the outcomes of AMS 800 implantation in a cohort of patients with varying causes of incontinence.
  • To analyze complications associated with the AMS 800 and different surgical approaches.

Summary:

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  • The study involved implanting the AMS 800 artificial urinary sphincter in 15 patients (1 boy, 14 men) aged 11-72 between 1993 and 1996.
  • The AMS 800, comprising a cuff, balloon, and pump, was placed around the bulbar urethra or cervix and filled with Omnipaque 300.
  • Complications included explantation in two patients due to infection and the need for an additional cuff in one. The perineal approach had a higher risk of urethral erosion, and neurogenic bladder patients experienced more complications.

    • Impact:

    • The artificial urinary sphincter (AMS 800) offers a highly effective treatment for urinary incontinence, restoring patient independence.
    • Despite the high cost and potential complications, the AMS 800 significantly improves the quality of life for individuals with severe incontinence.
    • Understanding the risks and benefits of different surgical approaches is crucial for optimizing outcomes in artificial sphincter implantation.