Long-term experience with the double-cuff AMS 800 artificial urinary sphincter.
OBJECTIVE
To assess the efficacy and safety of the double-cuff artificial urinary sphincter over a long-term period.


METHODS
Ninety-five patients charts were reviewed from December 1986 to November 1995. Data on the degree of urinary incontinence and complications were compiled and tabulated.


RESULTS
There were 10 cuff erosions (10.5%) and one infection (1.1%) requiring removal of the double-cuff system, with one death from unrelated causes. Two patients in the erosion group had a double-cuff system reinserted at a later date. Eighty-six patients have a double-cuff system, with 97.6% remaining dry.


CONCLUSIONS
A tandemly placed double-cuff artificial urinary sphincter is safe and effective in the treatment of severe postprostatectomy urinary incontinence.
Kowalczyk
J J
JJ
Department of Urology, Indiana University Medical Center, Indiana University School of Medicine at Indianapolis, USA.
Spicer
D L
DL
Mulcahy
J J
JJ
D004867:Equipment Design; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012086:Reoperation; D013997:Time Factors; D016741:Urinary Sphincter, Artificial