Experience with the artificial urinary sphincter in children and young adults

Michael E. Mitchell, Richard C. Rink

Research output: Contribution to journalArticle

18 Scopus citations

Abstract

The artificial urinary sphincter (model AS 791-792), American Medical Systems, Minnetonka, Minn.) has been implanted in 41 patients (mean age 13.9 years) who were incontinent in spite of intensive efforts with other modes of management. Neurogenic bladder dysfunction is present in 34 patients. Seven patients have non-neuropathic dysfunction of the bladder neck and urethra (3 with exstrophy/epispadias, 3 incontinent after multiple bladder and urethral procedures, and 1 incontinent after a pelvic fracture). Twenty-two patients have had intestino-cystoplasty performed and 11 patients had previous urinary diversion. Mean follow-up for a given device in 23 months (range 6 to 47 months). Of these patients, 80.5% are totally or acceptably dry. Five patients (12.2%) were rated as fair, and three were failures (7.3%). Complications have been significant in that reoperation has been necessary in 16 patients. Indications for patient selection is emphasized.

Original languageEnglish (US)
Pages (from-to)700-706
Number of pages7
JournalJournal of Pediatric Surgery
Volume18
Issue number6
DOIs
StatePublished - Dec 1983

Keywords

  • Incontinence
  • neurogenic bladder
  • urinary sphincter

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

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