EDITORIAL COMMENT: ARTIFICIAL URINARY SPHINCTER REVISION FOR URETHRAL ATROPHY: COMPARING SINGLE CUFF DOWNSIZING AND TANDEM CUFF PLACEMENT
Márcio Augusto Averbeck
Abstract
Open-access reader
Márcio Augusto Averbeck
Abstract
Open-access reader
Several therapeutic options have been proposed for patients with recurrent or persistent post--prostatectomy urinary incontinence due to urethral atrophy: changing the balloon reservoir for a higher pressure one, downsizing the cuff diameter, or increasing the amount of fluid in the system (1-3). Theoretically, a transcorporal cuff could possibly provide some supplementary bulk of tissue to the circumference of the urethra, possibly decreasing the risk of erosion (4).
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Several therapeutic options have been proposed for patients with recurrent or persistent post--prostatectomy urinary incontinence due to urethral atrophy: changing the balloon reservoir for a higher pressure one, downsizing the cuff diameter, or increasing the amount of fluid in the system (1-3). Theoretically, a transcorporal cuff could possibly provide some supplementary bulk of tissue to the circumference of the urethra, possibly decreasing the risk of erosion (4).
Key concepts: Medicine, Artificial urinary sphincter, Cuff, Urethral sphincter, Surgery, Atrophy, Urology, Urinary incontinence