ARTIFICIAL URINARY SPHINCTER CUFF EROSION - EXPERIENCE WITH REIMPLANTATION IN 38 PATIENTS

被引:36
作者
MOTLEY, RC [1 ]
BARRETT, DM [1 ]
机构
[1] MAYO CLIN & MAYO FDN,DEPT UROL,200 1ST ST SW,ROCHESTER,MN 55905
关键词
D O I
10.1016/0090-4295(90)80034-K
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Artificial urinary sphincter cuff erosion has become rare but remains a dreaded consequence of sphincter implantation. Our experience indicates that with rational and systematic management of this problem, sphincter reimplantation can restore continence in many of these patients. During a ten-year period, 412 artificial sphincters were implanted at the Mayo Clinic Bladder neck or urethral erosion occurred in 64 patients (15.5 %). Ultimately, 38 patients had reimplantation, and the outcome was successful in 32 (84 %). After the advent of delayed activation, the incidence of cuff erosion decreased greatly-from a peak of 18 percent (12 of 66 cases) in 1977 to 1.3 percent (1 of 79 cases) in 1985. © 1997 Elsevier Science Ltd. All rights reserved.
引用
收藏
页码:215 / 218
页数:4
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