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Urinary Incontinence in Men, Artificial Urinary Sphincter Pt2

leakage of urine in men, male urinary incontinence: the artificial urinary sphincter is an effective treatment for male stress urinary incontinence after prostate surgery especially severe...
#Spina Bifida #structure shoes #sling #Anatomical II #External Tumor Remover
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Hi in this video we'll continue talking about the artificial urinary sphincter, we'll talk about the success rate of the procedure as well as the complication rates and the satisfaction rates. Most studies in the literature report success rate around 80% of patients achieve social continence, this is usually defined by patients wearing 0-1 pad/day. A recent systematic review published in European Urology Journal indicated that the rate of social continence is between 60-100%. However the reported dry rate in the same systematic review was much lower than that, it was around the 43% mark. In terms of complications, the most widely reported complications are infection and that happens in about 4% of patients, if that happens the device will need to be removed and replaced with another device after the infection settles on antibiotic treatment, Erosion is another complication and this means that the cuff of the artificial urinary sphincter can erode through the urethra or puncture the urethra, and if this happens again the cuff will need to be removed and the area allowed time to heal, then another cuff will be implanted, usually in different place either more proximally or more distally, this also happens in about 4-5% of patients. The third reported complication is urethral atrophy, which means that the urethra underneath the cuff can shrink because of the continuous pressure and that makes the cuff loose and ineffective, if that happens the cuff will need to be removed and replaced with another smaller cuff, which is called downsizing the cuff. These three complications are usually grouped under the title Non-mechanical failure, the other group is the mechanical failure, because the artificial urinary sphincter is a mechanical device, any part of the device can fail either the pump or the cuff or the balloon and if that happens part of the device or the whole device will need to be replaced. common reasons for failure are leakage of fluid via the tubes or puncture of the balloon and leakage of the fluid. In total the rate of revision surgery after the insertion of the artificial urinary sphincter can be anywhere between 14 to 45%of patients. These reported complications of non-mechanical and mechanical failure are considered one of the main downsides of the procedure. however despite needing maintenance surgery within 10 years most patients are well satisfied after the insertion of the artificial urinary sphincter with reported satisfaction rate ranging between 85 to 90%. So to recap the artificial urinary sphincter is an effective treatment for male stress urinary incontinence after prostate surgery especially severe incontinence, however the downside of the device that it has a significant complication rates and revisional surgery rate. Despite that patients are well satisfied after the insertion of the sphincter because it does restore patients' quality of life. I hope you found this video useful and I apologise for the poor quality of the voice.
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deicy annotated1+ month ago

leakage of urine in men, male urinary incontinence: the artificial urinary sphincter is an effective treatment for male stress urinary incontinence after prostate surgery especially severe... ...

#Spina Bifida #structure shoes #sling #Anatomical II #External Tumor Remover
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deicy edited1+ month ago

Urinary Incontinence in Men, Artificial Urinary Sphincter Pt2

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