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

Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Mark, S; Pérez, LM; Webster, GD

Published Date

  • May 1994

Published In

Volume / Issue

  • 151 / 5

Start / End Page

  • 1202 - 1204

PubMed ID

  • 8158760

International Standard Serial Number (ISSN)

  • 0022-5347

Language

  • eng

Conference Location

  • United States