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인공요도괄약근 시술의 20년 경험

Other Titles
 Twenty Years of Experience with Artificial Urinary Sphincter Implantation 
Authors
 오철영  ;  이승환  ;  정현진  ;  임영재  ;  마상열 
Citation
 KOREAN JOURNAL OF UROLOGY, Vol.49(6) : 520-525, 2008 
Journal Title
KOREAN JOURNAL OF UROLOGY(대한비뇨기과학회지)
ISSN
 0494-4747 
Issue Date
2008
Keywords
Bladder ; Urinary incontinence ; Artificial urinary sphincter
Abstract
PURPOSE: The efficacy of the artificial urinary sphincter(AUS) in treating sphincteric incontinence has been clearly demonstrated. We report on 20 years of experience using artificial sphincter implantation at a single institute. MATERIALS AND METHODS: The follow-up data for 37 patients who received AUS(AMS 800(TM)) implantation between 1987 and 2006 at Yonsei University were available for this study. We investigated various components of the medical records, such as the number of pads used per day, results of pre-operative urodynamic studies, operative and post-operative complications, and revision rate. RESULTS: Mean patient age was 35.6 years(range 15-64 years), and mean follow-up duration was 12.4 years(range 1.4-19.8 years). Of the 37 patients, 21 had neurogenic bladder, and 9 had traumatic injury. Other causes of incontinence included post-operative complications(4 patients) and congenital anomalies(3 patients). The cuffs were placed were in the bladder necks of 21 patients and in the bulbous urethrae of 16 patients. The average number of pads used daily decreased significantly from 6.2 to 1.2 after the operation, and 27 patients(72.9%) were able to maintain 'dry-up status' (number of pads used< or=1). A total of 32 artificial sphincters remained in place(86.4% survival rate), with 8 revisions(21.6%) required secondary to infection, mechanical failure, or urethral stone. CONCLUSIONS: AUS implantation is a safe and durable treatment for urinary incontinence in patients with intrinsic sphincter deficiency from various underlying diseases.
Files in This Item:
T200801038.pdf Download
DOI
10.4111/kju.2008.49.6.520
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Mah, Sang Yol(마상열)
Lee, Seung Hwan(이승환) ORCID logo https://orcid.org/0000-0001-7358-8544
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/107309
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