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Role of the Artificial Urinary Sphincter in the Treatment of Stress Incontinence in Women
Author(s) -
DUNCAN H. J.,
NURSE DIANE E.,
MUNDY A. R.
Publication year - 1992
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.1992.tb15484.x
Subject(s) - urinary incontinence , urology , artificial urinary sphincter , medicine , sphincter , stress incontinence , surgery
Summary The artificial urinary sphincter (AUS) is rarely indicated in the treatment of women with stress incontinence because most of these women have deficient urethral support rather than pure sphincter weakness and the AUS is a treatment specifically for pure sphincter weakness. The procedure is contraindicated after pelvic radiotherapy and after previous sling surgery because of the high incidence of cuff erosion. Otherwise the artificial sphincter gives excellent results comparable to those seen in men with post‐protatectomy incontinence and much better than in neuropathic bladder dysfunction.