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Selection of Patients For Implantation of the Brantley Scott Artificial Urinary Sphincter
Author(s) -
MUNDY A. R.,
STEPHENSON T. P.
Publication year - 1984
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1984.tb06155.x
Subject(s) - artificial urinary sphincter , urinary incontinence , medicine , sphincter , prostatectomy , weakness , urology , urinary system , intensive care medicine , surgery , prostate , cancer
Summary— The Brantley Scott artificial urinary sphincter (AUS) is a safe, effective and relatively trouble‐free device for the control of sphincter weakness incontinence. Suitable patients should have no other urodynamic dysfunction or have had such a dysfunction corrected or controlled. Patients with post‐prostatectomy incontinence pose no problems in selection, although as a group they are the most prone to develop complications. Pure stress incontinence does not warrant implantation of an AUS except in very rare instances. In neuropathic dysfunction the AUS is one of several treatment options for the correction of incontinence and is most effectively used as such. In all patients, thorough pre‐operative videourodynamic evaluation is essential to get the best results and therefore to justify the infective and mechanical risks and the expense of the device.