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Artificial Urinary Sphincter Insertion in Congenital Neuropathic Bladder
Author(s) -
O'FLYNN K. J.,
THOMAS D. G.
Publication year - 1991
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.1991.tb15098.x
Subject(s) - medicine , anticholinergic , urinary bladder , surgery , urinary incontinence , sphincter , urinary system , urology , artificial urinary sphincter , residual urine , neurogenic bladder dysfunction , anesthesia , prostate , cancer
Summary— A series of 44 patients with neuropathic bladder dysfunction due to congenital myelodysplasia underwent implantation of an artificial urinary sphincter (AUS); in 26 patients a reconstructive procedure was performed at the same time. Five patients who initially had AUS implantation alone developed detrusor hyper‐reflexia and required a clam cystoplasty. Forty patients (90%) are continent, 2 are occasionally damp and 2 are wet and awaiting further surgery; 66% of patients who underwent AUS insertion and reconstruction were found to have significant residual urine and they perform intermittent self‐catheterisation (ISC). In patients with a good bladder capacity and normal compliance and detrusor hyper‐reflexia controlled by anticholinergic drugs, cystoplasty is not necessary at the time of AUS insertion.