ARTIFICIAL URINARY SPHINCTER FOR RECURRENT SEVERE STRESS-INCONTINENCEIN WOMEN - UROGYNECOLOGIC PERSPECTIVE

Eight American Medical Systems 800 artificial urinary sphincters were implanted in seven women with severe and/or recurrent stress urinary i ncontinence. The surgical approach to urethral cuff implantation consi sted of both abdominal and combined abdominal and vaginal approaches. Indications, preoperative evaluations, surgical technique and complica tions are discussed. Postoperative follow-up for 6-24 months showed al l the patients to be completely continent subjectively and objectively . The artificial urinary sphincter is a viable option in these difficu lt cases of urinary incontinence.