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• W117113306 abstract "No AccessJournal of Urology1 Apr 1987The Model as 800 Artificial Urinary Sphincter: Mayo Clinic Experience Benad Goldwasser, William L. Furlow, and David M. Barrett Benad GoldwasserBenad Goldwasser More articles by this author , William L. FurlowWilliam L. Furlow More articles by this author , and David M. BarrettDavid M. Barrett More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)44169-3AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail The model AS 800 artificial urinary sphincter was implanted in 100 male and 9 female patients between 7 and 89 years old. Postoperative followup was 1 to 32 months. The indication for implantation was total urinary incontinence in 86 patients (78.9 per cent), stress incontinence in 22 (21.2 per cent) and urgency incontinence in 1 (0.9 per cent). Of the patients 97 (89 per cent) underwent implantation for the first time, 7 (6.4 per cent) had a previous artificial urinary sphincter model replaced by the AS 800 device and 5 (4.6 per cent) underwent reimplantation of a previous model. The cuff was placed around the bladder neck in all 9 female patients, whereas in the male patients the cuff was implanted around the bladder neck in 20 and around the bulbous urethra in 80. Thirty-one patients (28.4 per cent), 29 of whom were continent at night, were practicing nocturnal deactivation of the device. Complete post-activation continence was achieved in 91 patients (83.5 per cent), some leakage occurred in 10 (9.2 per cent) and 8 (7.3 per cent) remained incontinent. A total of 23 patients required 1 or more revisions, the most common indications for the first revision being loss of cuff compression (9), tubing kink (3), cuff erosion (3) and infection (2). At the time of this report 89 patients (81.7 per cent) were continent, 9 (8.3 per cent) still had some leakage, 3 (2.8 per cent) were incontinent, 5 (4.6 per cent) were awaiting reimplantation and 3 (2.8 per cent) had died of unrelated causes. © 1987 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited bySelph J, Belsante M, Gupta S, Ajay D, Lentz A, Webster G, Le N and Peterson A (2018) The Ohmmeter Identifies the Site of Fluid Leakage during Artificial Urinary Sphincter Revision SurgeryJournal of Urology, VOL. 194, NO. 4, (1043-1048), Online publication date: 1-Oct-2015.HUSSAIN M, GREENWELL T, VENN S and MUNDY A (2018) THE CURRENT ROLE OF THE ARTIFICIAL URINARY SPHINCTER FOR THE TREATMENT OF URINARY INCONTINENCEJournal of Urology, VOL. 174, NO. 2, (418-424), Online publication date: 1-Aug-2005.SAFFARIAN A, WALSH K, WALSH I and STONE A (2018) Urethral Atrophy After Artificial Urinary Sphincter Placement: Is Cuff Downsizing Effective?Journal of Urology, VOL. 169, NO. 2, (567-569), Online publication date: 1-Feb-2003.Montague D (2018) Editorial commentJournal of Urology, VOL. 167, NO. 2 Part 2, (1130-1130), Online publication date: 1-Feb-2002.GOUSSE A, MADJAR S, LAMBERT M and FISHMAN I (2018) ARTIFICIAL URINARY SPHINCTER FOR POST-RADICAL PROSTATECTOMY URINARY INCONTINENCE: LONG-TERM SUBJECTIVE RESULTSJournal of Urology, VOL. 166, NO. 5, (1755-1758), Online publication date: 1-Nov-2001.MADJAR S, RAZ S and GOUSSE A (2018) FIXED AND DYNAMIC URETHRAL COMPRESSION FOR THE TREATMENT OF POST-PROSTATECTOMY URINARY INCONTINENCE: IS HISTORY REPEATING ITSELF?Journal of Urology, VOL. 166, NO. 2, (411-415), Online publication date: 1-Aug-2001.MADJAR S, JACOBY K, GIBERTI C, WALD M, HALACHMI S, ISSAQ E, MOSKOVITZ B, BEYAR M and NATIV O (2018) BONE ANCHORED SLING FOR THE TREATMENT OF POST-PROSTATECTOMY INCONTINENCEJournal of Urology, VOL. 165, NO. 1, (72-76), Online publication date: 1-Jan-2001.GOMES C, BRODERICK G, SÁNCHEZ-ORTIZ R, PREATE D, ROVNER E and WEIN A (2018) ARTIFICIAL URINARY SPHINCTER FOR POST-PROSTATECTOMY INCONTINENCE: IMPACT OF PRIOR COLLAGEN INJECTION ON COST AND CLINICAL OUTCOMEJournal of Urology, VOL. 163, NO. 1, (87-90), Online publication date: 1-Jan-2000.SMITH D, APPELL R, RACKLEY R and WINTERS J (2018) COLLAGEN INJECTION THERAPY FOR POST-PROSTATECTOMY INCONTINENCEJournal of Urology, VOL. 160, NO. 2, (364-367), Online publication date: 1-Aug-1998.Litwiller S, Kim K, Fone P, deVere White R and Stone A (2018) Post-Prostatectomy incontinence and the Artificial Urinary Sphincter: A Long-Term Study of Patient Satisfaction and Criteria for SuccessJournal of Urology, VOL. 156, NO. 6, (1975-1980), Online publication date: 1-Dec-1996.Cummings J, Boullier J and Parra R (2018) Transurethral Collagen Injections in the Therapy of Post-Radical Prostatectomy Stress IncontinenceJournal of Urology, VOL. 155, NO. 3, (1011-1013), Online publication date: 1-Mar-1996.Bomalaski M, Bloom D, McGuire E and Panzl A (2018) Glutaraldehyde Cross-Linked Collagen in the Treatment of Urinary Incontinence in ChildrenJournal of Urology, VOL. 155, NO. 2, (699-702), Online publication date: 1-Feb-1996.Wan J, McGuire E, Bloom D and Ritchey M (2018) Stress Leak Point Pressure: A Diagnostic Tool for Incontinent ChildrenJournal of Urology, VOL. 150, NO. 2 Part 2, (700-702), Online publication date: 1-Aug-1993.Leo M and Barrett D (2018) Success of the Narrow-Backed Cuff Design of the AMS800 Artificial Urinary Sphincter: Analysis of 144 PatientsJournal of Urology, VOL. 150, NO. 5 Part 1, (1412-1414), Online publication date: 1-Nov-1993.Brito C, Mulcahy J, Mitchell M and Adams M (2018) Use of a Double Cuff AMS800 Urinary Sphincter for Severe Stress IncontinenceJournal of Urology, VOL. 149, NO. 2, (283-285), Online publication date: 1-Feb-1993.Montague D (2018) The Artificial Urinary Sphincter (AS 800): Experience in 166 Consecutive PatientsJournal of Urology, VOL. 147, NO. 2, (380-382), Online publication date: 1-Feb-1992.Stone A and Radomski S (2018) Artificial Urinary Sphincter Reimplantation Following Cuff Erosion: Use Of The Vaginal ApproachJournal of Urology, VOL. 147, NO. 3 Part 1, (704-705), Online publication date: 1-Mar-1992.Nielsen K, Goldrath D and Bruskewitz R (2018) Artificial Urinary Sphincter Implantation after Pubectomy for Bone TumorJournal of Urology, VOL. 141, NO. 2, (372-373), Online publication date: 1-Feb-1989.Abbassian A (2018) A New Operation for Insertion of the Artificial Urinary SphincterJournal of Urology, VOL. 140, NO. 3, (512-513), Online publication date: 1-Sep-1988. Volume 137Issue 4April 1987Page: 668-671 Advertisement Copyright & Permissions© 1987 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Benad Goldwasser More articles by this author William L. Furlow More articles by this author David M. Barrett More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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