Assessment of the intrinsic urethral sphincter component function in postprostatectomy urinary incontinence

2002 ◽  
Vol 21 (3) ◽  
pp. 194-197 ◽  
Author(s):  
Christian Pfister ◽  
Olivier Cappele ◽  
Frederick Dunet ◽  
Hubert Bugel ◽  
Philippe Grise
2010 ◽  
Vol 23 (3) ◽  
pp. 5
Author(s):  
A. Cianci ◽  
S. Caruso ◽  
S. Bandiera ◽  
M.G. Matarazzo ◽  
F. Rapisarda ◽  
...  

The study values, through electromyography (emg), the stripped urethral sphyncter activity in women with stress incontinence (USI). 10 women with USI and 5 healthy women -control group- underwent urogynecologic examination, urodynamic examination and urethral electromyography examination. The endurance and extension of tension were took in the consideration. 9 women with USI had EGM showing denervation/renervation nervous damage, supported by potential’s wideness and length higher than control group (>300μV), either during relax or cough, and the trace’s absence of the interference with voluntary contraction. Only one woman with USI showed an EGM compatible with myogen damage: values <100 μV in all traces and negative anamnesis for risk factors. The Authors emphasize the role of EMG as a particular exam to study in deep the causes of urinary incontinence helpful to identify basic disorders of USI.


1994 ◽  
Vol 61 (1_suppl) ◽  
pp. 162-163
Author(s):  
A. Ceresoli ◽  
G. Zanetti ◽  
M. Seveso ◽  
A. Trinchieri ◽  
A. Del Nero ◽  
...  

The incidence of post-prostatectomy urinary incontinence has a range from 0.1 to 1%. There are two etiologic factors: urethral sphincter low activity and bladder instability. We treated 14 patients with Bladder training. Aim of this study is to describe our approach to this post-surgical problem.


2020 ◽  
Vol 2020 (8) ◽  
Author(s):  
Ryusuke Saito ◽  
Naoki Tanaka ◽  
Takashi Aizawa ◽  
Hirofumi Imoto ◽  
Akihiro Yamamura ◽  
...  

Abstract Urinary incontinence is one of the common complications after radical prostatectomy along with inguinal hernia. Artificial urethral sphincter implantation is widely accepted as a treatment option. We report two surgical cases of inguinal hernia after artificial urethral sphincter implantation for urinary incontinence following radical prostatectomy. In Case 1, since the device went through the inguinal canal, adhesion around the pubis was extremely hard. In Case 2, the device was placed on the ventral side of the rectus abdominis muscle, so it was operable almost as normal. In each case, the surgical procedure was considered carefully after confirming the location of the device by preoperative computed tomography and ultrasonography. Hernia repair was successfully performed using the Lichtenstein method. There are few reports regarding surgical repair of inguinal hernia following artificial urinary sphincter implantation. Preoperative image and appropriate choice of approach could facilitate safe and secure surgery.


2018 ◽  
Vol 54 (1) ◽  
pp. 22-29 ◽  
Author(s):  
Rory Applegate ◽  
Shelly Olin ◽  
Bethany Sabatino

ABSTRACT Urethral sphincter mechanism incompetence (USMI) is the most common cause of acquired urinary incontinence in dogs. The pathogenesis of USMI is multifactorial and complex. Studies have shown variable results regarding the effects and timing of sterilization on the incidence of USMI. Diagnosis of USMI is often based on history, physical examination, and elimination of other differentials. Treatment options for USMI include medications, such as α-adrenergic agents and estrogen products, minimally-invasive urethral bulking procedures, surgical procedures (e.g., indwelling urethral occluders), or combination therapy. The overall prognosis for USMI is typically fair to good with long-term therapy.


2014 ◽  
Vol 26 (2) ◽  
pp. 277-283 ◽  
Author(s):  
Stéphanie J. Madill ◽  
Stéphanie Pontbriand-Drolet ◽  
An Tang ◽  
Chantale Dumoulin

Urology ◽  
2004 ◽  
Vol 64 (5) ◽  
pp. 1037-1041 ◽  
Author(s):  
Michaël Peyromaure ◽  
Philippe Sebe ◽  
Christophe Praud ◽  
Gabrielle DeRocle ◽  
Nathalie Potin ◽  
...  

2020 ◽  
Vol 89 (3) ◽  
pp. 177-183
Author(s):  
J. Timmermans ◽  
B. Van Goethem ◽  
H. De Rooster

Urinary incontinence is a common condition in spayed, female dogs with a reported prevalence between 3.1% and 20.1%. In the majority of dogs with acquired urinary incontinence, urethral sphincter mechanism incompetence is the underlying cause. Approximately 15% of bitches that initially respond to medical therapy ultimately become refractory. Surgical intervention is indicated when patients do not respond or become refractory to medical treatment. Based on the current literature, placement of an artificial urethral sphincter, i.e. an inflatable cuff around the proximal urethra connected to a subcutaneous injection port, provides a very reliable and longterm incontinence resolution in bitches and has a low complication rate.


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