Artificial Urinary Sphincters—Early Experience

Placement of Artificial Bowel Sphincters in the Management of Faecal Incontinence

An innovative wound retractor/protector for prosthetic urologic surgery.

OBJECTIVE We demonstrate an innovative use of a barrier surgical wound retractor/protector system for use in a variety of prosthetic urologic procedures (penile prosthetics, artificial urinary sphincters, male slings). MATERIALS AND METHODS We demonstrate the use of a self-retaining ring wound retractor in a multitude of prosthetic urological procedures: insertion of an inflatable penile pros...

The disappointing performance of the new "Magnetic Sphincters": a wrong idea or a wrong realization?

In these last years devices based on magnetic activity have been proposed and marketed to reinforce weak gut sphincters, as the lower esophageal sphincter (LES), to prevent gastroesophageal reflux (GER) [1], and the anal sphincter to prevent feca l incontinence [2], with the purpose of replacing previous surgical solutions. However, these artificial sphincters have revealed some drawbacks and i...

Control of urinary bladder function with devices: successes and failures.

The management of urinary tract dysfunction is crucial for the health and well-being of people with spinal cord injury. Devices, specifically catheters, play an important role in the daily regime of bladder management for most people with spinal cord injury. However, the high incidence of complications associated with the use of catheters, and the fact that the spinal segments involved in lower...

The young patient with a fractured neck of femur.

achieved in patients with neuropathic incontinence or those incontinent after prostatectomy or injury to the urethra or sphincters. Some patients with epispadias and others who have had radical pelvic surgery may also be helped. The least suitable are women with stress incontinence.8 Clearly patients must have sufficient manual dexterity and mental capacity to operate the device. Initially pati...