인공요도괄약근 삽입술 후 발생한 미란의 일차 봉합

Abstract

Erosion is a common complication after artificial urinary sphincter implantation and a major cause of sphincter removal. A 73-year old man presented with exposure of artificial urinary sphincter connector and tube through the scrotal skin 13 months after implantation. He had taken radical prostatectomy for prostate cancer. After 10 days of aseptic dressing, the exposed connector was changed and the exposed wound was closed. After a 5-month follow-up period, there has been no complication in both wound and the functions of the artificial urinary sphincter. In conclusion, the small exposure of implantation device through erosion without active infection can be managed with primary repair, rather than initial removal of the device