Salvage perineal-retropubic AUS cuff in paraplegic patient with exstrophy-epispadias complex after previous cuff erosion at bladder neck

Autor: Peter Rehder, Mandie Barkhuizen, Andreas Redecker, Athanassios Oeconomou, Helmut Madersbacher, Jannik Stuehmeier
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Urology Case Reports, Vol 33, Iss , Pp 101280- (2020)
Druh dokumentu: article
ISSN: 2214-4420
DOI: 10.1016/j.eucr.2020.101280
Popis: Cuff erosion at the bladder neck of an implanted artificial urinary sphincter (AUS) needs complete explantation of the device. The subsequent scar tissues predispose to repeated cuff erosion, when another AUS is implanted with the cuff at a similar location. We describe a paraplegic patient with exstrophy-epispadias complex that suffered from an AUS cuff erosion at the bladder neck. We use a novel perineal-retropubic route for cuff placement, with preparation similar to a retropubic male sling. At 12 years follow-up the AUS is still functional and the patient continent.
Databáze: Directory of Open Access Journals