The Indiana Experience With Artificial Urinary Sphincters in Children and Young Adults
Autor: | Richard C. Rink, Garrick R. Simmons, Matthew B.K. Shaw, C.D. Anthony Herndon, Martin Kaefer, Anthony J. Casale, Mark P. Cain |
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Rok vydání: | 2003 |
Předmět: |
medicine.medical_specialty
business.industry Urinary system medicine.medical_treatment media_common.quotation_subject Urethral sphincter Urology Urinary incontinence Epispadias medicine.disease Urination Urinary catheterization Surgery Artificial urinary sphincter medicine.anatomical_structure medicine Sphincter medicine.symptom business media_common |
Zdroj: | The Journal of Urology. :650-654 |
ISSN: | 0022-5347 |
Popis: | Purpose: We reviewed a 22-year single institutional experience with the artificial urinary sphincter in children and adolescents. To our knowledge this report represents the largest series in the world in children.Materials and Methods: Between 1980 and 2002, 142 patients underwent implantation of an artificial urinary sphincter, of whom 93 males and 41 females with a median age of 10 years (range 3 to 39) were available for analysis. A total of 59 patients initially received an AMS 742/792 (American Medical Systems, Inc., Minnetonka, Minnesota) artificial urinary sphincter, of whom 33 were subsequently changed to an AMS 800, while 75 initially received an AMS 800 model. Sphincter followup was terminated at device removal or at the last documented contact. The etiology of incontinence was neuropathic bladder in 107 cases (80%), the exstrophy/epispadias complex in 21 (16%) and other in 6 (4%). Outcome measures included continence, mechanical complications (leakage, tube kink and pump malfunction), ... |
Databáze: | OpenAIRE |
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