Artificial Urinary Sphincters around Intestinal Segments-Are they Safe?
| Autor: | J. Hussain, P. M. T. Weston, T. P. Stephenson, J. D. T. Morgan |
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| Rok vydání: | 1991 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Urology medicine.medical_treatment Urinary Bladder Urinary incontinence Urinary Diversion Postoperative Complications Ileum medicine Humans Fecal incontinence Cecum Urinary bladder Urinary continence business.industry Urinary diversion Prostheses and Implants Surgery Neck of urinary bladder Urinary Incontinence medicine.anatomical_structure Cuff Female Faecal continence medicine.symptom business Fecal Incontinence |
| Zdroj: | British Journal of Urology. 67:150-154 |
| ISSN: | 1464-410X 0007-1331 |
| DOI: | 10.1111/j.1464-410x.1991.tb15097.x |
| Popis: | Artificial urinary sphincters (AUS) were implanted around intestinal segments to achieve urinary continence in 8 patients and faecal continence in 1. In 6 patients the cuff was placed around the lower end of the cystoplasty following bladder neck (5) or urethral (1) erosion. Four are completely dry, 1 on self-intermittent catheterisation (SIC). One has mild stress incontinence. In 1 patient the cuff eroded at 8 months. Two patients had cuffs implanted parastomally to create continent diversion. One is satisfactory on SIC and the other had her AUS explanted because of life-threatening metabolic acidosis. The rectal cuff was explanted because of faecal impaction above the cuff. As an absolute last resort, placing an AUS round a cystoplasty appears little more hazardous than round bladder neck. The use of the AUS for continent diversion has not been pursued because of reliable techniques of non-prosthetic continent diversion. The current model of the AUS is unsuitable for the treatment of faecal incontinence. |
| Databáze: | OpenAIRE |
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