Artificial urinary sphincter AMS 800 for urinary incontinence after radical prostatectomy: the French experience

Urol Int. 1998:60 Suppl 2:25-9; discussion 35. doi: 10.1159/000056548.

Abstract

Post-radical prostatectomy urinary incontinence (PRP-UI) has a major negative impact on the patient's quality of life with the incidence accounting for over 30% on a patient questionnaire basis. In 1995 the French Urological Association started a prospective survey to investigate the efficacy and safety of the AMS 800 artificial urinary sphincter (AUS) in PRP-UI, and preliminary results are presented for the 103 men enrolled in the study in whom bulbar urethral cuff placement was used exclusively. Surgical revision was necessary in 22 patients (21%). Infection and erosion accounted for 12 non-mechanical revisions leading to complete removal of 6 AUS and to eventual replacement of 6 devices with new ones. Mechanical malfunction accounted for revision in l0 patients (9.7%). Fifty-nine patients (61.45%) reported no leakage for the 96 working devices. Twenty-seven patients (28%) wore no pads, 3 patients used 1 pad and 4 patients used 2 pads/day, and all these patients reported improvement, with only 3 patients (3%) having had more than 2 pads/day. Currently, no non-prosthetic procedure reliably affords such good objective results. Insertion of the AMS 800 AUS no doubt represents an attractive treatment modality available for male urinary incontinence following radical prostatectomy.

Publication types

  • Clinical Trial

MeSH terms

  • France
  • Humans
  • Male
  • Patient Satisfaction
  • Prospective Studies
  • Prostatectomy / adverse effects*
  • Prostatic Neoplasms / surgery*
  • Quality of Life
  • Reoperation
  • Treatment Outcome
  • Urinary Incontinence / etiology*
  • Urinary Incontinence / surgery*
  • Urinary Sphincter, Artificial*
  • Urologic Surgical Procedures, Male / instrumentation
  • Urologic Surgical Procedures, Male / methods