A case of artificial urinary sphincter implantation in a patient who underwent both urethroplasty and ileal neobladder construction
Abstract
BACKGROUND: AUS implantation is the standard treatment recommended by the European Urological Association and American Urological Association guidelines to treat stress urinary incontinence due to intrinsic sphincter deficiency. AUS implantation following a neobladder construction or urethroplasty has been previously reported; however, there are only a few reports on patients who have undergone both procedures.This report presents a unique case of a patient who underwent artificial urinary sphincter (AUS) implantation after undergoing both urethroplasty and ileal neobladder construction. CASE PRESENTATION: A 76-year-old male with a history of urethral stricture and ileal neobladder construction was referred to our department because of persistent stress urinary incontinence. A pressure-regulating balloon was placed in the left lower abdomen, where the peritoneum remained intact. The AUS was activated and urinary continence was restored approximately seven weeks post-surgery. In addition to standard usage instructions, the patient was advised on timed voiding and deactivation during the night and in the event of fever. Urinary incontinence significantly improved, and the effectiveness was maintained without complications one year post-surgery. Device infection and urethral erosion are critical complications that should be considered during AUS implantation. We focused on the site of AUS implantation and perioperative infection control to solve this problem. CONCLUSION: AUS…
How strong is the evidence?
Evidence Hub reads this as a case report, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.
Read the paper
Related studies
- Understanding the factors influencing fall armyworm (Spodoptera frugiperda J.E. Smith) damage in African smallholder maize fields and quantifying its impact on yield. A case study in Eastern Zimbabwe
- Alarming situation of emerging H5 and H7 avian influenza and effective control strategies
- Livestock and food security: vulnerability to population growth and climate change
- Atmosphere–ocean oxygen and productivity dynamics during early animal radiations
- Characterization of the global distribution and diversified plasmid reservoirs of the colistin resistance gene mcr-9
- The global seroprevalence of Toxoplasma gondii in pigs: A systematic review and meta-analysis
Go deeper in Evidence Hub
Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.