An unusual use of AMS 800 artificial urinary sphincter cuff in the treatment of sphincteric neurogenic incontinence: case report.
METHODS
Case report of an unusual use of AMS 800 (American Medical Systems, Inc., Minnetonka, Minnesota) artificial urinary sphincter cuff in a female patient affected by neurogenic urinary incontinence.


OBJECTIVE
To describe this rare surgical solution.


METHODS
Department of Urology in Italy.


METHODS
A 43-year-old woman affected by flaccid paraplegia, acontractile bladder and incompetent bladder neck, underwent an implantation of an artificial urinary sphincter AMS 800. After 7 years, a mechanical failure of the device occurred and pubovaginal sling (PVS) utilizing the cuff of the sphincter was employed due to the poor quality of rectus fascia and the development of previous allergy for some heterologous materials.


RESULTS
At 17 months follow-up, the patient is content and able to empty the bladder by clean intermittent self-catheterization (CIC).


CONCLUSIONS
The risk of developing an allergy reaction due to the employment of heterologous materials and the impossibility to use the rectus fascia obliged us to adopt the pre-existent cuff of the artificial urinary sphincter AMS 800.
Siracusano
S
S
Department of Urology, University of Trieste, Trieste, Italy.
Ciciliato
S
S
Benedetto
P Di
PD
Marega
D
D
Tiberio
A
A
Stacul
F
F
D000328:Adult; D005260:Female; D006801:Humans; D011475:Prosthesis Failure; D001750:Urinary Bladder, Neurogenic / Q000601:surgery*; D014546:Urinary Catheterization; D016741:Urinary Sphincter, Artificial; D013519:Urogenital Surgical Procedures / Q000295:instrumentation*