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Synchronous management of anastomotic contracture and stress urinary incontinence following radical prostatectomy.

Publication ,  Journal Article
Mark, S; Pérez, LM; Webster, GD
Published in: J Urol
May 1994

Of 77 patients presenting for artificial urinary sphincter implantation due to incontinence following radical prostatectomy 26 had a significant associated urethrovesical anastomotic contracture. Synchronous endoscopic contracture incision with electrocautery and implantation of an artificial urinary sphincter (AMS800) were performed in all cases. A total of 25 patients void with a good subjective flow, with an average followup of 32 months. In 1 patient symptomatic stenosis recurred 6 months after incision and reincision was successful at the time of sphincter revision. No infection or erosion developed and 24 patients are socially continent (0 to 1 thin pad per day). During this time 5 patients underwent 8 revisions of the artificial sphincter. Synchronous contracture incision with electrocautery and artificial urinary sphincter implantation are safe and provide satisfying results in patients with complex post-prostatectomy incontinence.

Duke Scholars

Published In

J Urol

DOI

ISSN

0022-5347

Publication Date

May 1994

Volume

151

Issue

5

Start / End Page

1202 / 1204

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Urinary Sphincter, Artificial
  • Urinary Incontinence, Stress
  • Urethra
  • Prostatectomy
  • Male
  • Humans
  • Electrocoagulation
  • Constriction, Pathologic
  • Anastomosis, Surgical
 

Citation

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Mark, S., Pérez, L. M., & Webster, G. D. (1994). Synchronous management of anastomotic contracture and stress urinary incontinence following radical prostatectomy. J Urol, 151(5), 1202–1204. https://doi.org/10.1016/s0022-5347(17)35213-8
Mark, S., L. M. Pérez, and G. D. Webster. “Synchronous management of anastomotic contracture and stress urinary incontinence following radical prostatectomy.J Urol 151, no. 5 (May 1994): 1202–4. https://doi.org/10.1016/s0022-5347(17)35213-8.
Mark, S., et al. “Synchronous management of anastomotic contracture and stress urinary incontinence following radical prostatectomy.J Urol, vol. 151, no. 5, May 1994, pp. 1202–04. Pubmed, doi:10.1016/s0022-5347(17)35213-8.
Journal cover image

Published In

J Urol

DOI

ISSN

0022-5347

Publication Date

May 1994

Volume

151

Issue

5

Start / End Page

1202 / 1204

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Urinary Sphincter, Artificial
  • Urinary Incontinence, Stress
  • Urethra
  • Prostatectomy
  • Male
  • Humans
  • Electrocoagulation
  • Constriction, Pathologic
  • Anastomosis, Surgical