PMID: 11927310Apr 3, 2002Paper

Artificial urinary sphincter placement in men after cystectomy with orthotopic ileal neobladder: continence, complications, and quality of life

Urology
R Corey O'ConnorG T Bales

Abstract

To review our experience regarding the overall efficacy and safety of an artificial urinary sphincter (AUS) in men with stress urinary incontinence (SUI) after cystoprostatectomy with an orthotopic ileal neobladder. We performed a retrospective review of 5 men who underwent placement of an AUS (AMS 800) for severe SUI after radical cystectomy with an orthotopic ileal neobladder. Incontinence symptoms and quality of life were quantified using two validated continence questionnaires (Urogenital Distress Inventory Short Form and Incontinence Impact Questionnaire Short Form) and a brief addendum questionnaire. The degree of continence, perioperative and postoperative complications and infections, symptom distress, quality of life, and patient satisfaction were compared before and after AUS placement. Complete (0 pads per day) or social (1 pad or less per day) continence was reported in 5 of 5 patients after AUS placement. The average pad usage significantly decreased from 6.2 to 0.6 per day (P <0.001). No significant perioperative or postoperative complications or infections were noted. Symptom distress, quality of life, and patient satisfaction were significantly improved after AUS placement (P < 0.01, < 0.0001, and < 0.001, respe...Continue Reading

References

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Citations

Apr 6, 2012·Der Urologe. Ausg. A·A SoaveM Fisch
Jan 22, 2011·Canadian Urological Association Journal = Journal De L'Association Des Urologues Du Canada·Bhavneet KahlonKevin V Carlson
Feb 18, 2014·International Journal of Urology : Official Journal of the Japanese Urological Association·Mary H James, Kurt A McCammon
Dec 22, 2009·Neurourology and Urodynamics·Sender HerschornUNKNOWN Committee of the International Consultation on Incontinence
May 10, 2013·The World Journal of Men's Health·Mar IslahHwancheol Son

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