[Treatment of male urinary incontinence with the AMS 800 sphincter prosthesis: 45 cases].
Urinary incontinence due to sphincter incompetence constitutes a major source of disability. The AMS 800 artificial urinary sphincter allows durable restoration of satisfactory continence in patients who are often unresponsive to any other forms of treatment. 45 men underwent implantation of a peribulbar urethral (40) or pericervical (5) artificial sphincter over a 5-year period. Incontinence was secondary to prostatic surgery in the majority of cases (33). The technique, which is now well defined, consisted of urinary drainage via a bladder catheter for 8 days and activation of the sphincter after 1 month. The mean follow-up is 30 months. 36 (80%) of the patients are continent, including 27 (60%) without revision and 9 (20%) underwent unsuccessful revision resulting in partial or complete removal or permanent inactivation of the prosthesis (sepsis, urethral erosion, defective prosthesis). Strict patient selection, a rigorous implantation technique and standardised management of any incidents are key elements in the success of this procedure.
Hermieu
J F
JF
Clinique urologique, C.H.U. Bichat, Paris.
Boccon-Gibod
L
L
Baron
J C
JC
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003663:Decision Trees; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D012086:Reoperation; D014549:Urinary Incontinence / Q000453:epidemiology / Q000209:etiology / Q000601:surgery*; D016741:Urinary Sphincter, Artificial / Q000009:adverse effects / Q000592:standards*; D014563:Urodynamics
Le traitement de l'incontinence d'urines chez l'homme par prothèse sphinctérienne AMS 800: à propos de 45 cas.