Use of a double cuff AMS800 urinary sphincter for severe stress incontinence.
Stress urinary incontinence in the male patient has been successfully treated with the artificial urinary sphincter. However, approximately 15% of the patients treated are still significantly wet despite some improvement with this device. These patients usually are almost totally incontinent before artificial sphincter implantation. Of 15 such patients 80% were rendered satisfactorily dry by adding a second sphincter cuff around the bulbous urethra. This double cuff technique increases the success rate with the AMS800 sphincter to greater than 95%.
Brito
C G
CG
Department of Urology, Indiana University Medical Center, Indianapolis.
Mulcahy
J J
JJ
Mitchell
M E
ME
Adams
M C
MC
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D004867:Equipment Design; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012720:Severity of Illness Index; D014550:Urinary Incontinence, Stress / Q000628:therapy*; D016741:Urinary Sphincter, Artificial