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Success of the Narrow-Backed Cuff Design of the AMS800 Artificial Urinary Sphincter: Analysis of 144 Patients

1993; Lippincott Williams & Wilkins; Volume: 150; Issue: 5 Part 1 Linguagem: Inglês

10.1016/s0022-5347(17)35793-2

1527-3792

Mark E. Leo, David M. Barrett,

Urinary Bladder and Prostate Research

No AccessJournal of Urology1 Nov 1993Success of the Narrow-Backed Cuff Design of the AMS800 Artificial Urinary Sphincter: Analysis of 144 Patients Mark E. Leo, and David M. Barrett Mark E. LeoMark E. Leo More articles by this author , and David M. BarrettDavid M. Barrett More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)35793-2AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail The narrow-backed cuff design of the AMS800 artificial urinary sphincter was introduced to improve transmission of cuff pressure to underlying tissue and, theoretically, to decrease the incidence of cuff erosion. The AMS800 urinary sphincter with this design change was implanted in 136 male and 8 female patients (mean age 57 years). Mean followup was 28 months. The cuff was placed around the bladder neck in all 8 female and in 29 male patients, and it was implanted around the bulbous urethra in the remaining 107. The 4.5cm. cuff in combination with the 61 to 70cm. pressure balloon was implanted in 109 patients. There were 12 device failures and 12 surgical complications. Five patients required cuff removal and none required reoperation for inadequate cuff pressure. Postoperatively, 132 patients reported satisfactory continence. The design change of the AMS800 and the use of the 4.5cm. cuff with the 61 to 70cm. pressure balloon decreased the incidence of cuff erosion and the need for reoperation for inadequate cuff pressure. © 1993 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByKaufman M, Milam D, Johnsen N, Cleves M, Broghammer J, Brant W, Jones L, Brady J, Gross M and Henry G (2018) Prior Radiation Therapy Decreases Time to Idiopathic Erosion of Artificial Urinary Sphincter: A Multi-Institutional AnalysisJournal of Urology, VOL. 199, NO. 4, (1037-1041), Online publication date: 1-Apr-2018.Comiter C, Nitti V, Elliot C and Rhee E (2018) A New Quadratic Sling for Male Stress Incontinence: Retrograde Leak Point Pressure as a Measure of Urethral ResistanceJournal of Urology, VOL. 187, NO. 2, (563-568), Online publication date: 1-Feb-2012.GOUSSE A, MADJAR S, LAMBERT M and FISHMAN I (2018) ARTIFICIAL URINARY SPHINCTER FOR POST-RADICAL PROSTATECTOMY URINARY INCONTINENCE: LONG-TERM SUBJECTIVE RESULTSJournal of Urology, VOL. 166, NO. 5, (1755-1758), Online publication date: 1-Nov-2001.MADJAR S, RAZ S and GOUSSE A (2018) FIXED AND DYNAMIC URETHRAL COMPRESSION FOR THE TREATMENT OF POST-PROSTATECTOMY URINARY INCONTINENCE: IS HISTORY REPEATING ITSELF?Journal of Urology, VOL. 166, NO. 2, (411-415), Online publication date: 1-Aug-2001.MADJAR S, JACOBY K, GIBERTI C, WALD M, HALACHMI S, ISSAQ E, MOSKOVITZ B, BEYAR M and NATIV O (2018) BONE ANCHORED SLING FOR THE TREATMENT OF POST-PROSTATECTOMY INCONTINENCEJournal of Urology, VOL. 165, NO. 1, (72-76), Online publication date: 1-Jan-2001.Haab F, Trockman B, Zimmern P and Leach G (2018) Quality of Life and Continence Assessment of the Artificial Urinary Sphincter in Men With Minimum 3.5 Years of FollowupJournal of Urology, VOL. 158, NO. 2, (435-439), Online publication date: 1-Aug-1997.Litwiller S, Kim K, Fone P, deVere White R and Stone A (2018) Post-Prostatectomy incontinence and the Artificial Urinary Sphincter: A Long-Term Study of Patient Satisfaction and Criteria for SuccessJournal of Urology, VOL. 156, NO. 6, (1975-1980), Online publication date: 1-Dec-1996.Licht M, Montague D, Angermeier K and Lakin M (2018) Cultures From Genitourinary Prostheses at Reoperation: Questioning the Role of Staphylococcus Epidermidis in Periprosthetic InfectionJournal of Urology, VOL. 154, NO. 2, (387-390), Online publication date: 1-Aug-1995. Volume 150Issue 5 Part 1November 1993Page: 1412-1414 Advertisement Copyright & Permissions© 1993 by The American Urological Association Education and Research, Inc.Keywordsurinary incontinenceequipment designMetricsAuthor Information Mark E. Leo More articles by this author David M. Barrett More articles by this author Expand All Advertisement Loading ...