Implantación del Esfínter Urinario Artificial “FlowSecureTM” en uretra bulbar: Descripción de la técnica quirúrgica paso a paso

Montes, F. García; Vicens, Antoni; Moragues, Mariano Ozonas; Reus, P. Pizá; Salvá, Antonia Mora; Mundy, Anthony R.; Craggs, Michael

doi:10.1016/s0210-4806(07)73742-7

Cited by 7 publications

(9 citation statements)

References 2 publications

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“…Except verifying prosthesis status, ultrasound also allows measuring of the postvoid residual volume and calculation of the urethral closing pressure [8]. Moreover, MRI can ensure the precise position and integrity of all components of the sphincter [9]. …”

Section: Flowsecure Tm (Rbm-med)mentioning

confidence: 99%

“…Indications for implantation of the FlowSecure device in order of significance are postprostatectomy urinary incontinence, incontinence due to congenital abnormalities, neurogenic bladder with ISD, and women stress incontinence, where other surgical procedures have failed [9–12]. …”

Section: Flowsecure Tm (Rbm-med)mentioning

confidence: 99%

“…At this time, fluid can be added or removed from the system to accommodate to the patient's needs. It is not advisable, during subsequent pressurization, to add more than 2 mL of saline per session [9]. Proper device function must be monitored by free uroflowmetry, ultrasound scan, and clinical history [8].…”

Section: Flowsecure Tm (Rbm-med)mentioning

confidence: 99%

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New Artificial Urinary Sphincter Devices in the Treatment of Male Iatrogenic Incontinence

Vakalopoulos

Kampantais

Laskaridis

et al. 2012

Advances in Urology

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Severe persistent stress incontinence following radical prostatectomy for prostate cancer treatment, although not very common, remains the most annoying complication affecting patient's quality of life, despite good surgical oncological results. When severe incontinence persists after the first postoperative year and conservative treatment has been failed, surgical treatment has to be considered. In these cases it is generally accepted that artificial urinary sphincter is the gold standard treatment. AUS 800 by American Medical Systems has been successfully used for more than 35 years. Recently three more sphincter devices, the Flow-Secure, the Periurethral Constrictor, and the ZSI 375, have been developed and presented in the market. A novel type of artificial urinary sphincter, the Tape Mechanical Occlusive Device, has been inserted in live canines as well as in human cadavers. These new sphincter devices are discussed in this paper focusing on safety and clinical results.

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Section: Flowsecure Tm (Rbm-med)mentioning

confidence: 99%

Section: Flowsecure Tm (Rbm-med)mentioning

confidence: 99%

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New Artificial Urinary Sphincter Devices in the Treatment of Male Iatrogenic Incontinence

Vakalopoulos

Kampantais

Laskaridis

et al. 2012

Advances in Urology

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“…La presión existente en la prótesis puede regularse mediante la inyección o extracción de suero salino a través de un puerto autosellable existente en la bomba de control situada en el escroto del paciente. Para realizar la micción, el paciente sólo debe presionar la bomba de control hasta que consiga orinar con buen flujo, provocando el paso de líquido del manguito al reservorio regulador de presión [3][4][5] .…”

Section: Materials Y Métodosunclassified

“…El primer modelo de esfínter FlowSecure colocado en España fue en el año 2006 3 ; desde entonces, el número de prótesis implantadas se ha incrementado hasta ser actualmente de 63 en todo el territorio nacional. Debido a este incremento en el número de pacientes portadores del esfínter FlowSecure, y a la posibilidad de seguir aumentando, se considera recomendable conocer el seguimiento rutinario que se debe realizar en estos pacientes.…”

Section: Introductionunclassified

Seguimiento del esfínter urinario artificial FlowSecure

Rodriguez

Barranco

García-Montes

et al. 2009

Actas Urológicas Españolas

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The AMS-800 artificial urinary sphincter has been the only prosthesis available for treatment of stress urinary incontinence refractory to other therapeutic modalities for the past 25 years. The relatively high rate of complications occurring with the AMS-800 device during this time led to introduce a number of changes in its design that resulted in a new prostheses, the FlowSecure artificial sphincter. The FlowSecure artificial urinary sphincter is an adjustable prosthesis filled with normal saline without contrast. Plain X-rays cannot therefore be used for monitoring, and ultrasound is the most adequate radiographic technique for evaluation. In addition to calculating the post-void residue, ultrasound allows for verifying prosthesis status and for calculating the urethral occluding pressure. A detailed clinical history and flow rate measurement should be used together with the ultrasound scan to functionally assess patients with the FlowSecure device in order to determine the need for adjusting system pressure to the minimum pressure required for total continence.

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Urethral pressure profile assessment after artificial urinary sphincter implantation (FlowSecure^™ and AMS-800^™): A case series

Haab

Tornic

John

2019

SAGE Open Medical Case Reports

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The AMS-800 ™ artificial urinary sphincter has become the ‘gold standard’ in the treatment of male stress urinary incontinence. In 2006, the novel artificial urinary sphincter FlowSecure ™ containing a stress relief balloon providing low cuff pressures at rest with conditional pressure elevation during periods of stress has been launched. We assessed the intraurethral pressure in the cuff area of the AMS-800 and the FlowSecure by urethral pressure profile in four patients each. Urethral pressure profile was performed at rest and during coughing. In addition, continence situation and patient satisfaction after artificial urinary sphincter implantation was assessed. At rest, median pressure in the cuff region was 74 (38–117, FlowSecure) cm H 2 O and 102 (95–110, AMS-800) cm H 2 O. During coughing, pressure peaks rose to 135 (54–162, FlowSecure) cm H 2 O and 202 (128–216, AMS-800) cm H 2 O. Median pad usage before artificial urinary sphincter implantation in the FlowSecure and the AMS-800 group was 4 (3–4) and 4.5 (2–6) pads/24 h, respectively. At the time of urodynamic investigation, median pad usage declined to 1.5 (0–4) pads/24 h in the FlowSecure and to 1 (1–2) pads/24 h in the AMS-800 group. Seven of eight patients reported on a satisfactory quality of life, and one patient remained unhappy after FlowSecure implantation. It remains unclear if the trade-off in favour of lower cuff pressures, and consecutively lower intraurethral pressures, holds truly long-term benefits regarding device revision, explantation and patient satisfaction.

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Implantación del Esfínter Urinario Artificial “FlowSecureTM” en uretra bulbar: Descripción de la técnica quirúrgica paso a paso

Cited by 7 publications

References 2 publications

New Artificial Urinary Sphincter Devices in the Treatment of Male Iatrogenic Incontinence

New Artificial Urinary Sphincter Devices in the Treatment of Male Iatrogenic Incontinence

Seguimiento del esfínter urinario artificial FlowSecure

Urethral pressure profile assessment after artificial urinary sphincter implantation (FlowSecure^™ and AMS-800^™): A case series

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Implantación del Esfínter Urinario Artificial “FlowSecureTM” en uretra bulbar: Descripción de la técnica quirúrgica paso a paso

Cited by 7 publications

References 2 publications

New Artificial Urinary Sphincter Devices in the Treatment of Male Iatrogenic Incontinence

New Artificial Urinary Sphincter Devices in the Treatment of Male Iatrogenic Incontinence

Seguimiento del esfínter urinario artificial FlowSecure

Urethral pressure profile assessment after artificial urinary sphincter implantation (FlowSecure™ and AMS-800™): A case series

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Product

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Urethral pressure profile assessment after artificial urinary sphincter implantation (FlowSecure^™ and AMS-800^™): A case series