Management of type III stress urinary incontinence using artificial urinary sphincter

Webster, George D.; Pérez, Luis Miguel Luengo; Khoury, Joseph El; Timmons, Susan L.

doi:10.1016/0090-4295(92)90001-d

Cited by 85 publications

(21 citation statements)

References 14 publications

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“…All patients who had an AUS implanted at the CardiÂ Royal Infirmary before January 1986 were identified stress incontinence [7,8] and as part of complex lower urinary tract reconstruction [9,10]. Many large series of from theatre and American Medical Systems (AMS) records.…”

Section: Methodsmentioning

confidence: 99%

The fate of the ‘modern’ artificial urinary sphincter with a follow‐up of more than 10 years

Fulford

Sutton

Bales

et al. 1997

British Journal of Urology

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Objective To assess the long-term outcome of patients intermittent catheterization after the explantation of eroded AUS cuÂs. In seven patients the AUS was who had an artificial urinary sphincter (AUS) implanted between 10 and 15 years ago. abandoned; two of these patients reverted to condom drainage and five had continent or incontinent urinary Patients and methods Of 68 patients who had an AUS implanted more than 10 years ago, 61 were followed diversions fashioned. Thus, if those who died with a functioning AUS are included, 46 of 61 (75%) with suÃcient detail for analysis. Thirty-four had a neuropathic bladder with sphincter dysfunction, 15 achieved long-term continence with the AUS. Conclusions Despite the high complication and revision had post-prostatectomy sphincter weakness incontinence and 12 further patients had a variety of rate, these results show that acceptable continence rates can be achieved in the long-term, particularly in indications.Results The 61 patients experienced a total of 58 major the male neuropathic bladder and in those with postprostatectomy sphincter weakness. Many of the comcomplications and 49 have required at least one revision procedure. Currently eight (13%) patients are plications encountered may be less common with the current re-designed models of the AUS. However, it is satisfactorily continent with their original AUS in situ and 29 others have a satisfactory revised AUS. Thus essential that both surgeon and patient recognize and accept the likelihood of complications and revisions 37 of 61 (61%) are continent using an AUS at least 10 years after first implantation. Eleven patients died before using the AUS. The continued use of the AUS where simpler methods of obtaining continence are and of these two had a satisfactory original AUS in situ and seven had successful revisions. In two patients inappropriate remains justified. Keywords Artificial urinary sphincter, urinary contithe AUS failed but they were considered unfit for revision. Four female patients were continent and used nence, complications, outcome details the outcome in patients who had an AUS

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Section: Methodsmentioning

confidence: 99%

The fate of the ‘modern’ artificial urinary sphincter with a follow‐up of more than 10 years

Fulford

Sutton

Bales

et al. 1997

British Journal of Urology

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“…Other series have reported 92% continence at 2.5 years when AUS is used as the primary method for treating stress incontinence [14].…”

Section: Aus In Women With Stress Incontinencementioning

confidence: 99%

The role of artificial urinary sphincters in modern incontinence management

Martínez-Salamanca

Moncada²

2007

Curr sex health rep

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“…Webster et al published over 90% continence rates at 2.5 years in women with no previous surgery for SUI. [30] Longer term results are, however, less encouraging. A single-center review of AUS insertion by Thomas et al , examined 68 cases and found at a median follow up of 7 years only 37% retained the original sphincter.…”

Section: Artificial Urinary Sphincter Devicesmentioning

confidence: 99%

The surgical treatment of female stress urinary incontinence

Harding¹,

Thorpe²

2010

Indian J Urol

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Urinary incontinence is a common symptom experienced by significant numbers of adult women. Stress urinary incontinence (SUI) is the most frequently encountered type and affects around 50% of incontinent females. Many affected women do not consult their doctors about this troublesome symptom perhaps based on a belief that they cannot be helped. Recent years have seen the development of several new and popular techniques for the surgical treatment of this condition and many of the “gold standard” procedures for stress incontinence have been challenged. Currently, evidence in favor of the use of sub-urethral tapes especially tension-free vaginal tapes suggests that a new standard of low morbidity and high efficacy surgical treatment for SUI has been set. This review is intended to examine all of the surgical options for the treatment of SUI and provide health care professionals with an overview of the vast array of currently available procedures.

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Management of type III stress urinary incontinence using artificial urinary sphincter

Cited by 85 publications

References 14 publications

The fate of the ‘modern’ artificial urinary sphincter with a follow‐up of more than 10 years

The fate of the ‘modern’ artificial urinary sphincter with a follow‐up of more than 10 years

The role of artificial urinary sphincters in modern incontinence management

The surgical treatment of female stress urinary incontinence

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