Synchronous management of anastomotic contracture and stress urinary incontinence following radical prostatectomy.
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
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Related Subject Headings
- Urology & Nephrology
- Urinary Sphincter, Artificial
- Urinary Incontinence, Stress
- Urethra
- Prostatectomy
- Male
- Humans
- Electrocoagulation
- Constriction, Pathologic
- Anastomosis, Surgical
Citation
Published In
DOI
ISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Urology & Nephrology
- Urinary Sphincter, Artificial
- Urinary Incontinence, Stress
- Urethra
- Prostatectomy
- Male
- Humans
- Electrocoagulation
- Constriction, Pathologic
- Anastomosis, Surgical