Experience with a urinary sphincter prosthesis.
From February 1974 through April 1975, ten patients have had a Scott urinary sphincter prosthesis implanted for the relief of urinary incontinence. In nine of the patients, incontinence was due to trauma of the sphincter, and in one patient, incontinence was due to a neurogenic bladder. Four patients have been totally continent following operation and, thus far, have not required additional operative procedures. Two additional patients were continent after the initial implant, but incontinence recurred because of mechanical failure of the device. Both patients are again continent following replacement of the defective portion of the prosthesis. Four patients have been classified as failures. Infection was the cause of failure in three of these patients, and in the fourth patient with a neurogenic bladder, failure was due to uncontrollable detrusor hyperreflexia.
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009132:Muscles / Q000293:injuries / Q000601:surgery*; D019736:Prostheses and Implants; D014549:Urinary Incontinence / Q000601:surgery*