Format

Send to:

Choose Destination
See comment in PubMed Commons below
J Urol. 2000 Sep;164(3 Pt 1):702-6; discussion 706-7.

The long-term outcome of artificial urinary sphincters.

Author information

  • 1Institute of Urology and Nephrology, London, United Kingdom.

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. In female patients the risk of erosion is high, although overall long-term continence is satisfactory.

PMID:
10953129
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Loading ...
    Write to the Help Desk