You have accessJournal of UrologyLate-Breaking S&T Poster1 Apr 2016LB-S&T-38 A NOVEL TELEMETRY ACTIVATED SPHINCTER FOR THE TREATMENT OF SEVERE STRESS URINARY INCONTINENCE IN MALE AND FEMALE PATIENTS Roger Roman Dmochowski, Helene Combrisson, Pomme Boissier, Rostand Mitouassiwou, Eric Rambeaux, Christophe Aubert, Pierre Mainil-Varlet, and Pierre Costa Roger Roman DmochowskiRoger Roman Dmochowski More articles by this author , Helene CombrissonHelene Combrisson More articles by this author , Pomme BoissierPomme Boissier More articles by this author , Rostand MitouassiwouRostand Mitouassiwou More articles by this author , Eric RambeauxEric Rambeaux More articles by this author , Christophe AubertChristophe Aubert More articles by this author , Pierre Mainil-VarletPierre Mainil-Varlet More articles by this author , and Pierre CostaPierre Costa More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.03.119AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Urinary incontinence is a devastating physical disability affecting more than 15 million people only in the USA. Myopowers has developed an novel Artifical Urinary Sphincter. This active medical implant has features to permit an adaptive therapy over time. The Control Unit (CU) consists of the microdrive, the Cuff and its Transmission, the electronics, the antenna, the software and a battery. The silicone-made cuff is to be placed around the urethra of a female or male patient. There are two remote controls one for the patient and one for the urologist. The Objectives of this study were to test in a relevant animal model the functionality of such a device and to see if the intra urethral pressure can be modulated over time using a telemetry. METHODS Twelve (12) female pigs weighting from 170 to 160 lbs were enrolled in the study. The animals were divided in 3 groups and euthanized euthanized at 3, 6 and 9 weeks postoperatively. At implantation and prior euthanasia the implant functionalities (Remote control and urodynamic testing) were tested. Under genral Anesthesia, The abdominal cavity was opened through a 10 cm longitudinal incision. The cuff was positionned at the distal end to the right of the urethra. Urodynamic pressure measurements were performed using a Solar Blue urodynamic system from Medical Measurement System. This device was used with a three-way urodynamic catheter. RESULTS The cuff could be controlled with the telemetry at various closing pressure. The intrinsic sphincter could be well identified on the urodynamic profile. The cuff was seen on the urodynamic profile just after the intrinsic sphincter as demonstrated. After 3, 6 and 9 weeks the cuffs could be still manipulated via telemetry and the intra urethral pressure could be increased with cuff closure. Cuff pressure variations were similar to those at implantation. By 6 weeks the cuffs were covered by a thick granulation tissue. This reactive tissue had no effect on cuff mechanical behaviour nor was any change in the intraluminal urethral pressure induced while closing the cuff. CONCLUSIONS This novel urinary sphincter device permits intra urethral pressure modulation over time by controlled urethral compression. The device produces intra urethral pressure patterns that are similar to natural sphincter pressure behavior. The device is controlled by telemetry. The present animal study demonstrates the proof of concept of this new device for the treatment of severe stress incontinence. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e352 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Roger Roman Dmochowski More articles by this author Helene Combrisson More articles by this author Pomme Boissier More articles by this author Rostand Mitouassiwou More articles by this author Eric Rambeaux More articles by this author Christophe Aubert More articles by this author Pierre Mainil-Varlet More articles by this author Pierre Costa More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...