Management of artificial urinary sphincter dysfunction

European Urology
Frédéric MailletGeorges Karam

Abstract

The long-term outcome of artificial urinary sphincter (AUS) is unpredictable because of, among others, the risk of breakdown of one of its components. Our objective was to define a strategy for an accurate diagnosis and an appropriate management of these problems. From 1985 to 2000, 298 AUS (AMS 800) have been implanted in 288 patients aged 53 +/- 21 years (8 to 87 years). There were 130 women with urinary stress incontinence, 84 with neurological disorders, 76 following prostatic surgery and 8 for other reasons. Diagnosis was often done following the recurrence of urinary incontinence. The pump was systematically checked and all patients underwent radiographic and urodynamic studies. We have systematically looked for the defective component in order to avoid replacing the entire sphincter. Fifty-five patients (19%) have been re-operated on after a median follow-up of 23 months (11 days-10 years): Thirty-two only once, 20 twice and 3 patients 4 times. There were 55 depressurizations, 18 device dysfunctions without depressurization and 11 removals of the sphincter. Among the 55 depressurizations, 30 were related to a perforation of one component, 24 to a functional but insufficient sphincter and 1 to tubing disconnection. In for...Continue Reading

References

Jan 1, 1995·Neurourology and Urodynamics·G Singh, D G Thomas
Feb 1, 1996·British Journal of Urology·G Singh, D G Thomas
Oct 1, 1996·The Journal of Urology·J J KowalczykJ J Mulcahy
May 1, 1997·British Journal of Urology·S C FulfordT P Stephenson
Nov 1, 1993·British Journal of Urology·H J DuncanA R Mundy
Nov 17, 2001·Urology·D K Montague, K W Angermeier

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Citations

Apr 21, 2010·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·F Richard, UNKNOWN Committee on Women's Urology and pelviperineology, French Association of Urology
Dec 4, 2012·Emergency Medicine Clinics of North America·Maria R Ramos-FernandezLorraine Mendez-Carreno
Jun 27, 2012·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·B VayleuxL Le Normand
Apr 13, 2011·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·M BordenaveE Chartier-Kastler
Mar 1, 2011·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·N BeaujonJ Biserte
Mar 15, 2006·European Urology·Pedro López PereiraEnrique Jaureguizar Monroe
Apr 12, 2016·Neurourology and Urodynamics·X BiardeauJ Corcos
Oct 5, 2017·Revista da Associação Médica Brasileira·UNKNOWN Brazilian Society of Urology (SBU)Wanderley Marques Bernardo
May 20, 2015·The Journal of Urology·John Patrick SelphAndrew C Peterson
Oct 6, 2005·Current Opinion in Urology·George D Webster, Neil D Sherman
Oct 13, 2007·Physical Review. E, Statistical, Nonlinear, and Soft Matter Physics·Andrew J HeimPeter S Lomdahl
Nov 28, 2017·International Journal of Urology : Official Journal of the Japanese Urological Association·David Y YangDaniel S Elliott
Feb 16, 2020·International Urogynecology Journal·UNKNOWN Developed by the Joint Writing Group of the American Urogynecologic Society and the International Urogynecological Associati
Feb 25, 2017·Current Urology Reports·Amy D Dobberfuhl, Craig V Comiter

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