EXPERIENCES WITH THE ARTIFICIAL URINARY SPHINCTER IN THE IRRADIATED PATIENT

被引：42
|
作者：
WANG, Y
HADLEY, HR
机构：
[1] Division of Urology, Loma Linda University Medical Center, Loma Linda, CA
来源：
JOURNAL OF UROLOGY | 1992年 / 147卷 / 03期
关键词：
ARTIFICIAL ORGANS; ADENOCARCINOMA; PROSTATIC NEOPLASMS; RADIOTHERAPY; URINARY INCONTINENCE;
D O I：
10.1016/S0022-5347(17)37320-2
中图分类号：
R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];
学科分类号：
1002 ; 100201 ;
摘要：
The AMS800 artificial urinary sphincter was placed in 16 men who underwent previous pelvic irradiation for adenocarcinoma of the prostate. A total of 13 patients had undergone external beam irradiation and 3 had had iridium seed implants. The sphincteric cuff was placed in the bulbar urethra in all patients, with a pressure regulating balloon of 51 to 60 or 61 to 70 cm. water. Overall social continence rate was 87%. Total complication rate was 25% with a rate of erosion and/or infection of 12.5%. We advocate that with meticulous technique, use of a low pressure balloon and delayed primary cuff activation, the artificial urinary sphincter can be placed with a reasonable success rate in post-irradiated men with urinary incontinence.
引用
收藏
页码：612 / 613
页数：2
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