Urinary undiversion and implantation of the artificial urinary sphincter in a 73-year-old man.
We report a case of successful urinary undiversion and implantation of an artificial urinary sphincter in a 73-year-old man, who had undergone ileal loop urinary diversion elsewhere for treatment of urinary incontinence secondary to transurethral prostatectomy. The rationale for our decision to perform undiversion is presented. Evaluation of patient history and physical examination are necessary, as well as delineation of the anatomy and function of the upper and lower tracts by laboratory, radiological and urodynamic examinations. Each undiversion case is unique. Treatment must be individualized and should be initiated only after meticulous weighing of the advantages and disadvantages of the different therapeutic alternatives. A complete explanation to the patient is important. Highly satisfying results can be expected in appropriately selected cases.
D000368:Aged; D006801:Humans; D007082:Ileum / Q000601:surgery; D008297:Male; D019736:Prostheses and Implants; D012086:Reoperation; D014547:Urinary Diversion; D014549:Urinary Incontinence / Q000601:surgery*