| Treatment of dual urinary and fecal incontinence by implantation of two AMS 800 artificial sphincters. Case report. | |
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MedLine Citation:
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PMID: 9032547 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report the case of a 61-year-old woman with urinary and anal incontinence due to neurologic disease. An AMS 800 artificial sphincter was implanted first round the bladder neck with recovery of satisfactory urinary continence. Four months later, another AMS 800 artificial sphincter was implanted round the anal sphincter. Two revisional procedures had to be performed: replacement of the pump for mechanical failure, and replacement of the low-pressure balloon by a high-pressure one. Finally the patient has been almost completely continent with only occasional leakage of feces or liquid stools (follow-up 24 months after activation). Defecography shows total rectal evacuation and anorectal manometry records an anal closing pressure of 70 cm H2O. Dual implantation of artificial sphincters is possible for incontinence of neurological origin, provided bladder and rectal compliance are normal. |
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Authors:
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A Gelet; P Meunier; R L Platet; A F AbdelRahim; S Friaa; J G Lopez; K Manzan; J M Dubernard |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: European urology Volume: 31 ISSN: 0302-2838 ISO Abbreviation: Eur. Urol. Publication Date: 1997 |
Date Detail:
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Created Date: 1997-06-03 Completed Date: 1997-06-03 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7512719 Medline TA: Eur Urol Country: SWITZERLAND |
Other Details:
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Languages: eng Pagination: 115-7; discussion 117-8 Citation Subset: IM |
Affiliation:
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Department of Urology, Edouard Herriot Hospital, Lyon, France. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anal Canal
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surgery Cauda Equina Fecal Incontinence / etiology, surgery* Female Follow-Up Studies Humans Middle Aged Nerve Compression Syndromes / complications Reoperation Time Factors Urinary Bladder / surgery Urinary Incontinence / etiology, surgery* Urinary Sphincter, Artificial* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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