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Urology (Expert Forum)
Penal Clamp and artificial sphincter
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Penal Clamp and artificial sphincter
by nicholas, Sep 10, 1999 12:00AM
I am completely incontinent using a penal clamp. An artificial sphincter has been recommended. I would like to hear from anyone using either one of these devices regarding their experiences good and bad. I am not completely happy with the clamp but neither am I happy with the prospect of having a sphincter implanted. What to do?
Doctor's Answer
by HFHS M.D.-BE, Sep 13, 1999 12:00AM
============================================
Dear Nicholas,
In case of continuous urinary incontinence in men, penile clamps have been in use for a long time. Artificial urinary sphincters also have been in existence and use since the 1960's. The sphincter has gone through many design changes an revisions. The most modern of these is AS-800, which is a self contained system consisting of a balloon reservoir, a pump, a cuff and the tubing to connect these components. By using the pump button the cuff gets filled with fluid that is in the reservoir. This imparts the sphincteric function to the cuff, which is surgically placed in such a way to surround the urethra. When the cuff is filed it clamps down on the urethra and prevents the involuntary loss of urine. The pump button is concealed in the scrotum such that it can be easily manipulated and used by the patient. The reservoir balloon is placed under the abdominal muscles (rectus muscle), without it being felt or visible. This system gives the patient full control allowing him to open and close the sphincter mechanism at will.
The potential post-operative complications include: urinary retention, infection, cuff erosion, mechanical malfunction and recurrent incontinence. The overall experience with the use of AS-800 shows an 85-95% rate of satisfactory incontinence, a 2-4% rate of cuff erosion and a 1-3% rate of infection. The rate of re-operation was variable between 0 to 21% due to different causes at different institutions.
You need to discuss your concerns with your doctor and decide what you want done.
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).
Sincerely,
HFHS M.D.-BE
*keyword: artificial urinary sphincter
Dear Nicholas,
In case of continuous urinary incontinence in men, penile clamps have been in use for a long time. Artificial urinary sphincters also have been in existence and use since the 1960's. The sphincter has gone through many design changes an revisions. The most modern of these is AS-800, which is a self contained system consisting of a balloon reservoir, a pump, a cuff and the tubing to connect these components. By using the pump button the cuff gets filled with fluid that is in the reservoir. This imparts the sphincteric function to the cuff, which is surgically placed in such a way to surround the urethra. When the cuff is filed it clamps down on the urethra and prevents the involuntary loss of urine. The pump button is concealed in the scrotum such that it can be easily manipulated and used by the patient. The reservoir balloon is placed under the abdominal muscles (rectus muscle), without it being felt or visible. This system gives the patient full control allowing him to open and close the sphincter mechanism at will.
The potential post-operative complications include: urinary retention, infection, cuff erosion, mechanical malfunction and recurrent incontinence. The overall experience with the use of AS-800 shows an 85-95% rate of satisfactory incontinence, a 2-4% rate of cuff erosion and a 1-3% rate of infection. The rate of re-operation was variable between 0 to 21% due to different causes at different institutions.
You need to discuss your concerns with your doctor and decide what you want done.
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).
Sincerely,
HFHS M.D.-BE
*keyword: artificial urinary sphincter
Member Comments
by Michael Crase, Oct 17, 1999 12:00AM
To: Incontinence
0
by ALBERT WOODHOUSE, Nov 13, 1999 12:00AM
To: Incontinence
0
by lawrence, Nov 14, 1999 12:00AM
To: Incontinence
0
by C Schultz, Nov 23, 1999 12:00AM
To: Incontinence
0
by BORDROOM2, Mar 02, 2000 12:00AM
To: Incontinence
0
by Peter Falcone, Apr 16, 2000 12:00AM
To: Incontinence
0
by Don West, Apr 30, 2000 12:00AM
To: Incontinence
0
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