Urethral support with PelviSoft after artificial urinary sphincter erosion at revision procedures.
An artificial urinary sphincter cuff (AMS 800) is regarded the gold standard for surgically treating urinary incontinence without residual sphincter function. After erosion of an AMS 800 into the urethral lumen the whole system has to be explanted. When the urethral wall is supported and covered after healing with a porcine dermal acellular collagen matrix BioMesh (PelviSoft), a new artificial urinary sphincter may be implanted. The follow-up of up to two years seems promising in preventing erosion of the new cuff through the strengthened urethra wall, without compromising the functionality of the artificial urinary sphincter.
Rehder
Peter
P
Neurology Unit, Medical University of Innsbruck, Innsbruck, Austria, peter.rehder@uibk.ac.at
Pinggera
Germar-Michael
GM
Mitterberger
Michael
M
Pelzer
Alexandre E
AE
Gozzi
Christian
C
Herwig
Ralf
R
D003094:Collagen; D020878:Device Removal; D005260:Female; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000601:surgery*; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000601:surgery*; D019736:Prostheses and Implants; D011475:Prosthesis Failure; D012086:Reoperation; D013526:Surgical Mesh; D014521:Urethra / Q000601:surgery*; D016741:Urinary Sphincter, Artificial
D003094:Collagen