Abstract
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.
Original language | English |
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Pages (from-to) | 150-154 |
Number of pages | 5 |
Journal | British Journal of Urology |
Volume | 67 |
Issue number | 2 |
DOIs | |
Publication status | Published - 1 Feb 1991 |
Keywords
- Adolescent
- Adult
- Cecum
- Fecal Incontinence
- Female
- Humans
- Ileum
- Postoperative Complications
- Prostheses and Implants
- Urinary Bladder
- Urinary Diversion
- Urinary Incontinence