title: [Magnetic urethral closure device. Negative outcome after implantation for the treatment of female urinary incontinence].
abstract: We report on a negative outcome after implantation of a magnetic urethral closure device, consisting of one part screwed into the pubic bone and one part as a vaginal cone, for the treatment of urinary stress incontinence grade III. Continence was never achieved for the patient. The urethra narrowed over time due to erosion and scarring and the patient started intermittent catheterization, because spontaneous micturition was not possible. The magnet was broken, the bladder neck was eroded, several fragments were found in the bladder, and numerous fragments were scattered throughout the small pelvis. Surgery consisted of removing most of the fragments, followed by bladder neck closure and suprapubic diversion.
authors.affiliation: Klinik für Urologie und Kinderurologie, Universitätsklinikum Bonn, Sigmund-Freud-Straße 25, 53127, Bonn, Deutschland.
authors.forename: R
authors.initials: R
authors.lastname: Anding
authors.forename: H
authors.initials: H
authors.lastname: van Ahlen
authors.forename: S C
authors.initials: SC
authors.lastname: Müller
authors.forename: S
authors.initials: S
authors.lastname: Latz
mesh_terms: D002408:Catheters, Indwelling; D004867:Equipment Design; D019544:Equipment Failure Analysis; D005260:Female; D006801:Humans; D008280:Magnetics / Q000295:instrumentation*; D008875:Middle Aged; D017211:Treatment Failure; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery*; D062885:Urinary Catheters; D014549:Urinary Incontinence / Q000175:diagnosis* / Q000601:surgery*