Artificial urinary sphincters around intestinal segments

are they safe?

P M Weston, John Morgan, Julia Hussein, T P Stephenson

Research output: Contribution to journalArticle

7 Citations (Scopus)

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 languageEnglish
Pages (from-to)150-154
Number of pages5
JournalBritish Journal of Urology
Volume67
Issue number2
DOIs
Publication statusPublished - 1 Feb 1991

Fingerprint

Artificial Urinary Sphincter
Catheterization
Urinary Bladder
Fecal Impaction
Fecal Incontinence
Acidosis

Keywords

  • Adolescent
  • Adult
  • Cecum
  • Fecal Incontinence
  • Female
  • Humans
  • Ileum
  • Postoperative Complications
  • Prostheses and Implants
  • Urinary Bladder
  • Urinary Diversion
  • Urinary Incontinence

Cite this

Artificial urinary sphincters around intestinal segments : are they safe? / Weston, P M; Morgan, John; Hussein, Julia; Stephenson, T P.

In: British Journal of Urology, Vol. 67, No. 2, 01.02.1991, p. 150-154.

Research output: Contribution to journalArticle

Weston, P M ; Morgan, John ; Hussein, Julia ; Stephenson, T P. / Artificial urinary sphincters around intestinal segments : are they safe?. In: British Journal of Urology. 1991 ; Vol. 67, No. 2. pp. 150-154.
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