Outcome of urinary incontinence treatment with artificial urinary sphincter (AUS) implantation
Journal Title: Postępy Nauk Medycznych - Year 2012, Vol 25, Issue 4
Abstract
Introduction. One of the well documented method of urinary incontinence (UI) treatment due to an incompetent urinary sphincter mechanism is Implantation of artificial urinary sphincter (AUS). It can be used in man and female patients with sever incontinence which failed to respond to any other therapy. In many cases this is method of choice and give exellent continence result but is expensive and connected with high risk of complications.Material and methods. Artificial Urinary sphincter was implanted In 79 patients (74 man and 5 women) with total urinary incontinence. Reason of urinary incontinence where radical prostatectomy in 37 (50%) cases, transurethral prostatectomy in 19 (25.6%) or open prostatectomy in 9 (12.1%), and other reasons (23.4%). In female group of patients 2 head sever stress urinary incontinence next 2 neurogenic UI and 1 with extrophy. In 60 (81%) man cuff was pleased around bulbous urethra and in 14 (18.9% around bladder neck or prostate. Bladder neck was placement of choice in female patients.Results. Urinary continence was assessed by 24h pad test. Complete continence was in 46% patients, good in 42%, unsatisfactory in 4,5%, and incontinence in 7.5% patients respectively. In patients with unsatisfactory reimplantion in 3 of 5th was successful, 2 patients are waiting for operation. In 39 (49.3%) patients where no complication, interoperation complications were occurred in 5 (6.3%, early in 11 (13.9%) late in 23 (29.1%) patients respectively. The most frequent late complication was buolbar urethra erosion, occurred in 6 (7.6%) patients. Finally 73 (92.4%) incontinent patients benefit from AUS insertion.Conclusions. Treatment of urinary incontinence with insertion of AUS in selected patients is effective, and give excellent improvement in quality of life.Postoperative care and careful follow up is essential because of high risk of complications, which indicate appropriate diagnosis and treatment.
Authors and Affiliations
Tomasz Szopiński, Piotr Chłosta, Andrzej Borówka
Keywords
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