Severe Complications of Artificial Urinary Sphincter Placement in a Young Woman With Neurogenic Urinary Incontinence: A Case Report

This article reports a case of 40-year-old woman with history myelomeningocele and neurogenic urinary incontinence who developed erosion fistula formation following the placement an artificial sphincter (AUS) when she was 18 years old. The patient had long-standing that unresponsive to prior surgeries for meningomyelocele. She reported loss uro-fecal material from vagina but did not seek further medical evaluation until age 40. Clinical examination revealed protruding tubes suprapubic region. administration contrast agent through one two led visualization intestinal loops, urethra confirmed connection between rectum, bladder, vagina. Due absence reliable surgical in abdominal discomfort, bilateral nephrostomies were initially performed prevent loss. showed significant improvement, decided treatment, remained socially integrated during follow-up period 20 years. highlights severe consequences AUS young emphasizes importance proper selection management presence underlying neurological disorders.