Experiences with the artificial urinary sphincter in the irradiated patient.
The AMS800 artificial urinary sphincter was placed in 16 men who underwent previous pelvic irradiation for adenocarcinoma of the prostate. A total of 13 patients had undergone external beam irradiation and 3 had had iridium seed implants. The sphincteric cuff was placed in the bulbar urethra in all patients, with a pressure regulating balloon of 51 to 60 or 61 to 70 cm. water. Overall social continence rate was 87%. Total complication rate was 25% with a rate of erosion and/or infection of 12.5%. We advocate that with meticulous technique, use of a low pressure balloon and delayed primary cuff activation, the artificial urinary sphincter can be placed with a reasonable success rate in post-irradiated men with urinary incontinence.
Wang
Y
Y
Division of Urology, Loma Linda University Medical Center, California.
Hadley
H R
HR
D000230:Adenocarcinoma / Q000150:complications / Q000532:radiotherapy*; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000209:etiology*; D011471:Prostatic Neoplasms / Q000150:complications / Q000532:radiotherapy*; D013997:Time Factors; D014549:Urinary Incontinence / Q000209:etiology / Q000601:surgery*; D016741:Urinary Sphincter, Artificial