Portal de Periódicos da CAPES

Synchronous Management of Anastomotic Contracture and Stress Urinary Incontinence Following Radical Prostatectomy

1994; Lippincott Williams & Wilkins; Volume: 151; Issue: 5 Linguagem: Inglês

10.1016/s0022-5347(17)35213-8

1527-3792

Stephen Mark, Luis Miguel Luengo Pérez, George D. Webster,

Pelvic floor disorders treatments

No AccessJournal of Urology1 May 1994Synchronous Management of Anastomotic Contracture and Stress Urinary Incontinence Following Radical Prostatectomy Stephen Mark, Luis M. Pérez, and George D. Webster Stephen MarkStephen Mark , Luis M. PérezLuis M. Pérez , and George D. WebsterGeorge D. Webster View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)35213-8AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail 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 isncision with electrocautery and implantation of an artificial urinary sphincter (AMS800) † American Medical Systems, Minnetonka, Minneosta. 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. © 1994 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByPfalzgraf D, Beuke M, Isbarn H, Reiss C, Meyer-Moldenhauer W, Dahlem R and Fisch M (2018) Open Retropubic Reanastomosis for Highly Recurrent and Complex Bladder Neck StenosisJournal of Urology, VOL. 186, NO. 5, (1944-1947), Online publication date: 1-Nov-2011.ANGER J, RAJ G, DELVECCHIO F and WEBSTER G (2018) ANASTOMOTIC CONTRACTURE AND INCONTINENCE AFTER RADICAL PROSTATECTOMY: A GRADED APPROACH TO MANAGEMENTJournal of Urology, VOL. 173, NO. 4, (1143-1146), Online publication date: 1-Apr-2005.YURKANIN J, DALKIN B and CUI H (2018) EVALUATION OF COLD KNIFE URETHROTOMY FOR THE TREATMENT OF ANASTOMOTIC STRICTURE AFTER RADICAL RETROPUBIC PROSTATECTOMYJournal of Urology, VOL. 165, NO. 5, (1545-1548), Online publication date: 1-May-2001.ELLIOTT D and BOONE T (2018) COMBINED STENT AND ARTIFICIAL URINARY SPHINCTER FOR MANAGEMENT OF SEVERE RECURRENT BLADDER NECK CONTRACTURE AND STRESS INCONTINENCE AFTER PROSTATECTOMY: : A LONG-TERM EVALUATIONJournal of Urology, VOL. 165, NO. 2, (413-415), Online publication date: 1-Feb-2001.Dalkin B (2018) Endoscopic Evaluation and Treatment of Anastomotic Strictures After Radical Retropubic ProstatectomyJournal of Urology, VOL. 155, NO. 1, (206-208), Online publication date: 1-Jan-1996. Volume 151Issue 5May 1994Page: 1202-1204 Advertisement Copyright & Permissions© 1994 by The American Urological Association Education and Research, Inc.Keywordscontractureurinary incontinence, stressprostatic diseasesartificial organsprostatectomyMetricsAuthor Information Stephen Mark More articles by this author Luis M. Pérez More articles by this author George D. Webster More articles by this author Expand All Advertisement PDF DownloadLoading ...