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Organo Oficial de la Sociedad Mexicana de Urología

2011, Number 5

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Rev Mex Urol 2011; 71 (5)

Artificial urinary sphincter for treatment of urinary incontinence in neurogenic bladder: technical aspects

Hernández-Castellanos VA, Morales-MontorJorge G, Cantellano-Orozco M, Urdiales-Ortiz A, Fulda-Grague SD, Martínez JÁ, Fernández-Noyola G, Camacho-Castro A, García-Salcido FJ, Pacheco-Gahbler C

Language: Spanish
References: 10
Page: 274-277
PDF size: 403.20 Kb.


ABSTRACT

Objective: To demonstrate technical aspects of placing AMS-800 artificial urinary sphincter in the treatment of urinary incontinence in neurogenic bladder.
Case presentation: Patient is a forty-four year-old paraplegic man with neurogenic bladder with continuous urinary incontinence of one-year progression and transurethral catheter connected to urine collecting bag. Urodynamics: defunctionalized bladder, detrusor areflexia, atonic urethral sphincter, abolished proprioceptive sensitivity, and bladder with adequate capacity (350cc). Procedure was placement of AMS 800 artificial sphincter at the bulbar urethra level with inferior scrotal approach.
Conclusions. Artificial urinary sphincter success is approximately 60% at five years or more. Model AMS 800 is currently the most widely used model providing the best long-term results. It can be used in neurogenic bladder patients with acceptable success rate and complication rate. Patients should be carefully selected given the morbidity and cost implied in artificial sphincter placement.


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