THE LONG-TERM OUTCOME OF ARTIFICIAL URINARY SPHINCTERS

Autor:	Tamsin Greenwell, Suzie N. Venn, Anthony R. Mundy
Rok vydání:	2000
Předmět:	medicine.medical_specialty business.industry Urology Urinary system Urethral sphincter Urinary incontinence Retrospective cohort study Surgery Artificial urinary sphincter Neck of urinary bladder medicine.anatomical_structure Urethra medicine Sphincter medicine.symptom business
Zdroj:	Journal of Urology. 164:702-707
ISSN:	1527-3792 0022-5347
DOI:	10.1016/s0022-5347(05)67285-0
Popis:	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 ...
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::c320c7f57b0342f18529f5626c60d176 https://doi.org/10.1016/s0022-5347(05)67285-0 Zobrazit plný text záznamu