Korean J Urol.  2008 Jun;49(6):520-525.

Twenty Years of Experience with Artificial Urinary Sphincter Implantation

• Oh CY
• Lee SH
• Jung HJ
• Yim YJ
• Mah SY

Abstract

PURPOSE: The efficacy of the artificial urinary sphincter(AUS) in treating sphincteric incontinence has been clearly demonstrated. We report on 20 years of experience using artificial sphincter implantation at a single institute.
MATERIALS AND METHODS
The follow-up data for 37 patients who received AUS(AMS 800(TM)) implantation between 1987 and 2006 at Yonsei University were available for this study. We investigated various components of the medical records, such as the number of pads used per day, results of pre-operative urodynamic studies, operative and post-operative complications, and revision rate.
RESULTS
Mean patient age was 35.6 years(range 15-64 years), and mean follow-up duration was 12.4 years(range 1.4-19.8 years). Of the 37 patients, 21 had neurogenic bladder, and 9 had traumatic injury. Other causes of incontinence included post-operative complications(4 patients) and congenital anomalies(3 patients). The cuffs were placed were in the bladder necks of 21 patients and in the bulbous urethrae of 16 patients. The average number of pads used daily decreased significantly from 6.2 to 1.2 after the operation, and 27 patients(72.9%) were able to maintain 'dry-up status' (number of pads used< or=1). A total of 32 artificial sphincters remained in place(86.4% survival rate), with 8 revisions(21.6%) required secondary to infection, mechanical failure, or urethral stone.
CONCLUSIONS
AUS implantation is a safe and durable treatment for urinary incontinence in patients with intrinsic sphincter deficiency from various underlying diseases.

Keyword

Bladder; Urinary incontinence; Artificial urinary sphincter

MeSH Terms

Follow-Up Studies
Humans
Medical Records
Neck
Urethra
Urinary Bladder
Urinary Bladder, Neurogenic
Urinary Incontinence
Urinary Sphincter, Artificial
Urodynamics

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