Treatment of neurogenic male urinary incontinence related to intrinsic sphincter insufficiency with an artificial urinary sphincter: a French retrospective multicentre study

BJU International
Emmanuel Chartier KastlerAlain Ruffion

Abstract

To assess results and morbidity of the periprostatic insertion of an artificial urinary sphincter (AUS) in adult male patients with a neurogenic bladder. A retrospective study was carried out on 51 adult male patients operated on in four urologic academic wards from April 1988 to January 2008. Among these patients, 31% (16/51) had spina bifida and 69% (35/51) had spinal cord injury. All patients suffered urinary incontinence secondary to sphincteric deficiency, and this was associated with detrusor overactivity in 39% of them (leading in these cases to an added bladder augmentation). Perfect continence was defined as a period of dryness of at least 4 h between two self-intermittent catheterizations (SIC) or spontaneous micturitions, moderate incontinence as nocturnal leakage or need to wear protection once during the day or for stress leakage, while severe incontinence was defined as uncontrollable leakage causing patient discomfort. Mean age at the procedure was 35 years (18-58). Mean follow-up was 83 months (CI 95%, 65-101). At the end of the study, 15 patients (29.4%) were lost to follow-up. One patient (2%) died shortly after the procedure from a pulmonary infection. Post-operative morbidity was observed in 19% (10/50) of t...Continue Reading

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Citations

Oct 2, 2013·Current Opinion in Urology·Bastian AmendKarl-Dietrich Sievert
Sep 15, 2012·Biologics : Targets & Therapy·Aziz Gulamhusein, Altaf Mangera
Nov 13, 2014·Current Opinion in Urology·Ulrich Mehnert, Thomas M Kessler
Oct 23, 2012·The Journal of Urology·Ulrich MehnertEmmanuel Chartier-Kastler
Mar 22, 2016·Neurourology and Urodynamics·X BiardeauJ Corcos
Apr 12, 2016·Neurourology and Urodynamics·X BiardeauJ Corcos
Mar 8, 2014·The Journal of Urology·Aurélien BeaugeriePierre Mozer
Apr 21, 2016·Current Opinion in Urology·Alonso Carrasco, Vijaya M Vemulakonda
Apr 15, 2018·Current Urology Reports·Tony Nimeh, Sean Elliott
Jun 17, 2020·Neurourology and Urodynamics·Enrico AmmiratiAlessandro Giammò
Apr 24, 2018·World Journal of Urology·Jean-Jacques WyndaeleNoritoshi Sekido
Nov 27, 2020·Current Opinion in Urology·Benoit PeyronnetFrank Van Der Aa
Jun 27, 2021·BJU International·Emmanuel Chartier-KastlerVéronique Phé
Aug 26, 2021·Lower Urinary Tract Symptoms·Naohisa KusakabeNobuo Shinohara

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