THE LONG-TERM OUTCOME OF ARTIFICIAL URINARY SPHINCTERS

Abstract

No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Sep 2000THE LONG-TERM OUTCOME OF ARTIFICIAL URINARY SPHINCTERS S.N. VENN, T.J. GREENWELL, and A.R. MUNDY S.N. VENNS.N. VENN More articles by this author , T.J. GREENWELLT.J. GREENWELL More articles by this author , and A.R. MUNDYA.R. MUNDY More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)67285-0AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We reviewed the outcome of artificial urinary sphincters inserted more than 10 years ago. Materials and Methods: We analyzed the records of 100 patients and mailed a questionnaire to those without recent followup. Results: Overall 84 patients were continent, including 36 with the original artificial urinary sphincter in place who were dry at a median followup of 11 years and 27 in whom the device was successfully replaced due to mechanical failure who were previously continent for a median of 7 years. In 21 patients it was removed due to infection or erosion and reimplantation was successful 3 to 6 months later or they remained dry without another artificial urinary sphincter. Of the male patients with a bulbar and bladder neck sphincter 92% and 84%, respectively, were continent at 10 years as well as 73% of the females. Device survival was 66% at 10 years. Overall 37% of the prostheses were removed due to infection or erosion in the 10-year period with the highest risk in females (56%) and lowest in males with a bulbar sphincter (23%). Conclusions: The artificial urinary sphincter is effective long-term treatment for incontinence in male patients. 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Volume 164Issue 3 Part 1September 2000Page: 702-707 Advertisement Copyright & Permissions© 2000 by American Urological Association, Inc.Keywordsurinary sphincter, artificialurethraurinary incontinencebladderMetricsAuthor Information S.N. VENN More articles by this author T.J. GREENWELL More articles by this author A.R. MUNDY More articles by this author Expand All Advertisement PDF downloadLoading ...