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An Assessment of the Complications of the Brantley Scott Artificial Sphincter
Author(s) -
HEATHCOTE P. S.,
GALLOWAY N. T. M.,
LEWIS D. C.,
STEPHENSON T. P.
Publication year - 1987
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.1987.tb04945.x
Subject(s) - artificial urinary sphincter , cognitive science , environmental ethics , psychoanalysis , psychology , artificial intelligence , biology , computer science , philosophy , medicine , surgery , urinary incontinence
Summary— A Brantley Scott artificial sphincter has been inserted into 95 patients since 1981; more than half of the patients had lower urinary tract neuropathy and most of the others post‐TUR incontinence. The main problem with the device has been cuff failure (12), which should be resolved by the new “dipped” cuffs. The major surgical complication has been erosion (10), usually associated with infection. Twenty‐four patients had variable degrees of incontinence but the artificial sphincter remains the cornerstone of continence control when other methods have failed or are inappropriate.