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Detrusor Instability: A Delayed Complication in Association with the Artificial Sphincter

1986; Lippincott Williams & Wilkins; Volume: 135; Issue: 6 Linguagem: Inglês

10.1016/s0022-5347(17)46039-3

1527-3792

Stuart B. Bauer, Edward F. Reda, Arnold H. Colodny, Alan B. Retik,

Urinary Bladder and Prostate Research

No AccessJournal of Urology1 Jun 1986Detrusor Instability: A Delayed Complication in Association with the Artificial Sphincter Stuart B. Bauer, Edward F. Reda, Arnold H. Colodny, and Alan B. Retik Stuart B. BauerStuart B. Bauer More articles by this author , Edward F. RedaEdward F. Reda More articles by this author , Arnold H. ColodnyArnold H. Colodny More articles by this author , and Alan B. RetikAlan B. Retik More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)46039-3AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Of 45 children with an artificial sphincter 6 had elevated filling pressure of the detrusor and/or uninhibited contractions of the bladder after the implantation surgery, which produced hydronephrosis in 3 and urinary incontinence in 3. All affected individuals had myelodysplasia (17 per cent of this subgroup), 3 had evidence of tethering of the spinal cord and 3 may have had unrecognized detrusor hypertonicity, which was masked by the low outlet resistance before sphincter implantation. Corrective surgery consisted of either decompressive laminectomy with untethering of the spinal cord or augmentation cystoplasty when indicated. Factors affecting the change in the detrusor postoperatively, and recommendations for improved selection and surveillance of individuals undergoing implantation of the artificial device are promulgated. © 1986 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByGrimsby G, Menon V, Schlomer B, Baker L, Adams R, Gargollo P and Jacobs M (2018) Long-Term Outcomes of Bladder Neck Reconstruction without Augmentation Cystoplasty in ChildrenJournal of Urology, VOL. 195, NO. 1, (155-161), Online publication date: 1-Jan-2016.Jung H, Lee H, Im Y, Lee Y, Hong C and Han S (2018) Prerequisite for Successful Surgical Outcome in Urothelium Lined Seromuscular ColocystoplastyJournal of Urology, VOL. 187, NO. 4, (1416-1421), Online publication date: 1-Apr-2012.Bar-Yosef Y, Castellan M, Joshi D, Labbie A and Gosalbez R (2018) Total Continence Reconstruction Using the Artificial Urinary Sphincter and the Malone Antegrade Continence EnemaJournal of 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Volume 135Issue 6June 1986Page: 1212-1215 Advertisement Copyright & Permissions© 1986 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Stuart B. Bauer More articles by this author Edward F. Reda More articles by this author Arnold H. Colodny More articles by this author Alan B. Retik More articles by this author Expand All Advertisement Loading ...