Esfínter Urinario Artificial “FlowSecureTM”: Un nuevo concepto de esfínter artificial regulable y con oclusión condicional para la incontinencia urinaria de esfuerzo

Montes, F. García; Knight, SL; Greenwell, Tamsin; Mundy, AR; Craggs, Michael

doi:10.1016/s0210-4806(07)73717-8

Cited by 9 publications

(2 citation statements)

References 8 publications

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“…From a surgical perspective, particularly the one-piece assembly of the FS makes the handling and the implantation quick and simple. 12 Consecutively, shorter operating time and minimized perioperative handling might reduce prosthesis infections, leading frequently to explantation of the AUS in the first months after surgery.…”

Section: Discussionmentioning

confidence: 99%

Urethral pressure profile assessment after artificial urinary sphincter implantation (FlowSecure^™ and AMS-800^™): A case series

Haab

Tornic

John

2019

SAGE Open Medical Case Reports

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The AMS-800 ™ artificial urinary sphincter has become the ‘gold standard’ in the treatment of male stress urinary incontinence. In 2006, the novel artificial urinary sphincter FlowSecure ™ containing a stress relief balloon providing low cuff pressures at rest with conditional pressure elevation during periods of stress has been launched. We assessed the intraurethral pressure in the cuff area of the AMS-800 and the FlowSecure by urethral pressure profile in four patients each. Urethral pressure profile was performed at rest and during coughing. In addition, continence situation and patient satisfaction after artificial urinary sphincter implantation was assessed. At rest, median pressure in the cuff region was 74 (38–117, FlowSecure) cm H 2 O and 102 (95–110, AMS-800) cm H 2 O. During coughing, pressure peaks rose to 135 (54–162, FlowSecure) cm H 2 O and 202 (128–216, AMS-800) cm H 2 O. Median pad usage before artificial urinary sphincter implantation in the FlowSecure and the AMS-800 group was 4 (3–4) and 4.5 (2–6) pads/24 h, respectively. At the time of urodynamic investigation, median pad usage declined to 1.5 (0–4) pads/24 h in the FlowSecure and to 1 (1–2) pads/24 h in the AMS-800 group. Seven of eight patients reported on a satisfactory quality of life, and one patient remained unhappy after FlowSecure implantation. It remains unclear if the trade-off in favour of lower cuff pressures, and consecutively lower intraurethral pressures, holds truly long-term benefits regarding device revision, explantation and patient satisfaction.

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Section: Discussionmentioning

confidence: 99%

Urethral pressure profile assessment after artificial urinary sphincter implantation (FlowSecure^™ and AMS-800^™): A case series

Haab

Tornic

John

2019

SAGE Open Medical Case Reports

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“…A stress relief balloon transmits transient increases in abdominal pressure to the cuff during periods of stress. [41]…”

Section: Artificial Urinary Sphinctermentioning

confidence: 99%

Management of male urinary incontinence

Moore¹,

Lucas²

2010

Indian J Urol

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The majority of male urinary incontinence seen is secondary to sphincter weakness following prostatic surgery. As there is a rising elderly population and increasing numbers of surgical interventions for prostate cancer, incidence of male incontinence is increasing. Hence, management of male incontinence has become a subject of increased interest for urologists. Various non-surgical and surgical approaches have been suggested for this devastating condition. Non-invasive therapies are suggested for early postoperative and mild incontinence. For surgical treatment the artificial urinary sphincter is still labeled the gold standard despite the introduction of several more minimally invasive treatments. However, as yet there is no consensus on the optimal timing and best modality for managing these men. Well designed, centrally funded clinical trials are required to establish which treatment modality to offer and when in the broad spectrum of male incontinence. This review focuses mainly on the management of post-prostatectomy incontinence since the management of other types varies little from the modalities of treatment in women.

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Surgery for stress urinary incontinence due to presumed sphincter deficiency after prostate surgery

Silva

Andriolo

Atallah

et al. 2014

Cochrane Database of Systematic Reviews

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BackgroundIncontinence a er prostatectomy for benign or malignant disease is a well-known and o en a feared outcome. Although small degrees of incidental incontinence may go virtually unnoticed, larger degrees of incontinence can have a major impact on a man's quality of life.Conceptually, post-prostatectomy incontinence may be caused by sphincter malfunction or bladder dysfunction, or both. Most men with post-prostatectomy incontinence (60% to 100%) have stress urinary incontinence, which is involuntary urinary leakage on e ort or exertion, or on sneezing or coughing. This may be due to intrinsic sphincter deficiency and may be treated with surgery for optimal management of incontinence. Detrusor dysfunction is more common a er surgery for benign prostatic disease. ObjectivesTo determine the e ects of surgical treatment for urinary incontinence related to presumed sphincter deficiency a er prostate surgery for:-men with lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH) -transurethral resection of prostate (TURP), photo vaporisation of the prostate, laser enucleation of the prostate or open prostatectomy -and -men with prostate cancer -radical prostatectomy (retropubic, perineal, laparoscopic, or robotic). Search methodsWe searched the Cochrane Incontinence Group Specialised Register, which contains trials identified from Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, MEDLINE in process, ClinicalTrials.gov, and handsearching of journals and conference proceedings (searched

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Esfínter Urinario Artificial “FlowSecureTM”: Un nuevo concepto de esfínter artificial regulable y con oclusión condicional para la incontinencia urinaria de esfuerzo

Cited by 9 publications

References 8 publications

Urethral pressure profile assessment after artificial urinary sphincter implantation (FlowSecure^™ and AMS-800^™): A case series

Urethral pressure profile assessment after artificial urinary sphincter implantation (FlowSecure^™ and AMS-800^™): A case series

Management of male urinary incontinence

Surgery for stress urinary incontinence due to presumed sphincter deficiency after prostate surgery

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Esfínter Urinario Artificial “FlowSecureTM”: Un nuevo concepto de esfínter artificial regulable y con oclusión condicional para la incontinencia urinaria de esfuerzo

Cited by 9 publications

References 8 publications

Urethral pressure profile assessment after artificial urinary sphincter implantation (FlowSecure™ and AMS-800™): A case series

Urethral pressure profile assessment after artificial urinary sphincter implantation (FlowSecure™ and AMS-800™): A case series

Management of male urinary incontinence

Surgery for stress urinary incontinence due to presumed sphincter deficiency after prostate surgery

Contact Info

Product

Resources

About

Urethral pressure profile assessment after artificial urinary sphincter implantation (FlowSecure^™ and AMS-800^™): A case series

Urethral pressure profile assessment after artificial urinary sphincter implantation (FlowSecure^™ and AMS-800^™): A case series