Surgical management of intrinsic sphincter deficiency in women.
The past decade has witnessed significant changes not only in our understanding of intrinsic sphincter deficiency, but also in our surgical approach to this problem. It became evident that the patient's medical condition, expectations, and degree of incontinence should define the approach in order to make the greatest impact on quality of life. The present review describes the current concepts and surgical approaches to intrinsic sphincter deficiency, namely slings, injectables, and artificial sphincters.
Ghoniem
G M
GM
Tulane University School of Medicine, Department of Urology, New Orleans, Louisiana 70112, USA. ghoniem@tmcpop.tmc.tulane.edu
D000328:Adult; D000368:Aged; D003094:Collagen / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008875:Middle Aged; D011138:Polytetrafluoroethylene / Q000627:therapeutic use; D019736:Prostheses and Implants; D011788:Quality of Life; D013524:Surgical Flaps; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000601:surgery*; D016741:Urinary Sphincter, Artificial
D011138:Polytetrafluoroethylene; D003094:Collagen