Combined external urethral bulking and artificial urinary sphincter for urethral atrophy and stress urinary incontinence
| Autor: | Tom F. Lue, Nadeem U. Rahman, Donna Y. Deng, Thomas X. Minor |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Male
Reoperation medicine.medical_specialty Urinary Incontinence Stress Urology medicine.medical_treatment Urinary incontinence Artificial urinary sphincter Urethra Recurrence medicine Humans Aged Aged 80 and over Prostatectomy Urinary continence business.industry Urethral sphincter Middle Aged Urethral atrophy Combined Modality Therapy Surgery Treatment Outcome medicine.anatomical_structure Cuff Urinary Sphincter Artificial Atrophy medicine.symptom business |
| Zdroj: | BJU International. 95:824-826 |
| ISSN: | 1464-410X 1464-4096 |
| DOI: | 10.1111/j.1464-410x.2005.05409.x |
| Popis: | OBJECTIVE To describe a technique of externally bulking the urethra with a soft-tissue graft before placing another artificial urinary sphincter (AUS), as when placing another AUS for recurrent male stress urinary incontinence (SUI) other manoeuvres, e.g. placing a tandem cuff or transcorporal cuff, must be used to obtain urinary continence in an atrophic urethra, and each is associated with morbidity. PATIENTS AND METHODS From January 2003 to July 2004, five patients (mean age 74 years, range 62–84) treated by radical prostatectomy were referred for recurrent SUI after placing an AUS (four, including one with urethral erosion) or a male sling (one, with a resulting atrophic urethra). Each patient was treated with an external urethral bulking agent (Surgisis® ES, Cook Urological, Spencer, Indiana) and had an AUS placed. RESULTS In each patient the greatest urethral circumference was |
| Databáze: | OpenAIRE |
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