Artificial urinary sphincter cuff erosion. Experience with reimplantation in 38 patients.
Artificial urinary sphincter cuff erosion has become rare but remains a dreaded consequence of sphincter implantation. Our experience indicates that with rational and systematic management of this problem, sphincter reimplantation can restore continence in many of these patients. During a ten-year period, 412 artificial sphincters were implanted at the Mayo Clinic. Bladder neck or urethral erosion occurred in 64 patients (15.5%). Ultimately, 38 patients had reimplantation, and the outcome was successful in 32 (84%). After the advent of delayed activation, the incidence of cuff erosion decreased greatly--from a peak of 18 percent (12 of 66 cases) in 1977 to 1.3 percent (1 of 79 cases) in 1985.
Motley
R C
RC
Department of Urology, Mayo Clinic, Rochester, Minnesota.
Barrett
D M
DM
D005260:Female; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000601:surgery*; D019736:Prostheses and Implants / Q000009:adverse effects*; D012086:Reoperation; D014521:Urethra / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*; D014549:Urinary Incontinence / Q000209:etiology / Q000601:surgery