Salvage surgical procedure for artificial sphincter extrusion
Int. braz. j. urol
;
44(3): 634-638, May-June 2018. tab, graf
Artículo
en Inglés
| LILACS
| ID: biblio-954035
ABSTRACT
ABSTRACT Case Hypothesis:
Surgical removal is the standard treatment for artificial sphincter extrusion. However in some specific situations is possible to maintain the prosthesis with good results. Case report We report a 60 years old patient presenting sphincter pump extrusion one month after artificial urinary sphincter (AUS) AMS 800™ placement for treating post-radical prostatectomy urinary incontinence (PRPUI). He also had a penile pros- thesis implant one year before that was replaced in the same surgery the sphincter was implanted. As patient refused sphincter removal and there were no signals of active infection he was treated by extensive surgical washing with antibiotics and antiseptics. Pump was repositioned in the opposite side of the scrotum. Patient had good evolution with sphincter activation 50 days later. After 10 months of follow up, patient is socially continent and having regular sexual intercourse. Savage surgery may be an option in select cases of artificial sphincter extrusion. Promising future implications Like in some patients with penile prosthesis some pa- tients with artificial sphincter extrusion can be treated without removing the device. This may be a line of research about conservative treatment of artificial sphincter complications.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Complicaciones Posoperatorias
/
Falla de Prótesis
/
Esfínter Urinario Artificial
/
Terapia Recuperativa
Límite:
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Int. braz. j. urol
Asunto de la revista:
Urología
Año:
2018
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
Hospital Sírio Libanês/BR
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