Severe post-prostatectomy urinary incontinence and the artificial urinary sphincter AMS 800: Results and patient satisfaction

A. Cestari, A. Centemero, P. Pompa, G. Guazzoni, P. Rigatti

Research output: Contribution to journalArticlepeer-review

Abstract

Severe urinary incontinence after radical prostatectomy is often related to a complete sphincter deficiency or dysfunction and can benefit only from an artificial urinary sphincter implant. We evaluated the results and patient satisfaction with the artificial urinary sphincter AMS 800 in our division, focussing on which patients should be candidates for this operation. Over a 3 year period we performed 735 radical prostatectomies and implanted only 5 artificial sphincters in patients with severe postprostatectomy urinary incontinence. The overall continence rate was 80%; the reoperation rate was 20% (1 patient). No septic or mechanical complications occurred. Grade of satisfaction, as evaluated by a questionnaire, was high in all patients with a significant increase on the quality of life scale. We conclude that the use of an artificial urinary sphincter for severe urinary incontinence after radical prostatectomy is the most efficacious treatment currently available.

Original languageEnglish
Pages (from-to)205-208
Number of pages4
JournalActa Urologica Italica
Volume12
Issue number4
Publication statusPublished - 1998

Keywords

  • Artificial organs
  • Prostate neoplasm
  • Prostatectomy
  • Urinary incontinence

ASJC Scopus subject areas

  • Urology

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