Laparoscopic Implantation of Artificial Urinary Sphincter around Prostate-Preliminary Results

Tomasz Szopinski, Iwona Sudol-Szopinska Anna Katarzyna Czech, Piotr Radziszewski and Piotr Ludwik Chlosta

Department of Urology, Medical University of Warsaw, Poland
Department of Radiology, National Institute of Geriatrics, Rheumatology and Rehabilitation, Poland
Department of Urology, University Hospital, Cracow, Poland

^*Correspondance to: Tomasz Szopinski 

 PDF  Full Text DOI: 10.25107/2474-1647.2562

Abstract

Objectives: The aim of this study was to present outcomes of men urinary incontinence treatment by laparoscopic implantation of Artificial Urinary Sphincter (AUS). Material and Methods: From 2015 to 2017, we have performed 6 procedures of AUS implantation around the prostatic urethra in male. Urinary incontinence was resulted from pelvic trauma in 2 patients, Transurethral Resection of the Prostate (TURP) in 3 patients, and open prostatectomy in 1 patient. The laparoscopic implantation of AUS was performed. A catheter was removed 3 days after the surgery. Follow-up was conducted in an outpatient manner. Results: The surgery duration ranged from 155 min to 235 min (mean 199.6 min). Sphincter activation, performed 6 weeks after the surgery, was successful in all the patients. Continence was evaluated as total in all the patients, both directly after activation and during further follow-up. None of the patients required protective pads, and some of them were able to resume their professional activity involving physical labour, with no continence deterioration. To date, no mechanical system malfunctions have been noted. One patient died 3 years after the procedure due to myocardial infarction with a functional sphincter system. Erosion of the scrotal pump was noted in one patient as a consequence of trauma sustained to that region. The follow-up period ranged from 17 months to 44 months (mean 30.2 months). Conclusion: Laparoscopic AUS implantation around the prostate is safe and offers good functional outcome. This initial outcome needs further evaluation and more cases done.

Keywords

Cite the article

Szopinski T, Sudol-Szopinska I, Katarzyna Czech A, Radziszewski P, Ludwik Chlosta P. Laparoscopic Implantation of Artificial Urinary Sphincter around Prostate-Preliminary Results. Clin Surg. 2019; 4: 2562..