Your browser doesn't support javascript.
loading
Permanent Bulbar Urethral Ligation: Emerging Treatment Option for Incontinent Men With End-stage Urethra.
VanDyke, Maia E; Viers, Boyd R; Pagliara, Travis J; Scott, Jeremy M; Shakir, Nabeel; Dugi, Daniel D; Cordon, Billy H; Hofer, Matthias D; Morey, Allen F.
Afiliación
  • VanDyke ME; Department of Urology, University of Texas Southwestern, Dallas, TX.
  • Viers BR; Department of Urology, University of Texas Southwestern, Dallas, TX.
  • Pagliara TJ; Department of Urology, University of Texas Southwestern, Dallas, TX.
  • Scott JM; Department of Urology, University of Texas Southwestern, Dallas, TX.
  • Shakir N; Department of Urology, University of Texas Southwestern, Dallas, TX.
  • Dugi DD; Department of Urology, Oregon Health & Science University, Portland, OR.
  • Cordon BH; Department of Urology, University of Texas Southwestern, Dallas, TX.
  • Hofer MD; Department of Urology, University of Texas Southwestern, Dallas, TX.
  • Morey AF; Department of Urology, University of Texas Southwestern, Dallas, TX. Electronic address: allen.morey@utsouthwestern.edu.
Urology ; 105: 186-191, 2017 07.
Article en En | MEDLINE | ID: mdl-28322899
OBJECTIVE: To report our experience with permanent urethral ligation for severe incontinence among men with end-stage urethra. MATERIALS AND METHODS: From our institutional artificial urinary sphincter database of 512 patients from 2010 to 2016, 10 men underwent permanent urethral ligation with concurrent suprapubic tube diversion following recurrent artificial urinary sphincter cuff erosion. Clinical characteristics and outcomes were evaluated. Quality of life was assessed using the Michigan Incontinence Symptom Index and the Patient Global Index of Improvement. RESULTS: Urethral ligation resulted in resolution of incontinence in 8 men (80%), including 7 (70%) after 1 surgery and in 1 (10%) after a single revision. The average American Society of Anesthesiologists physical status rating was 2.7 (range 2-3). Seven patients (70%) experienced postoperative complications (4 Clavien-Dindo grade II complications [1 Clostridium difficile infection, 3 refractory bladder spasms) and 5 grade III complications (2 abscesses, 2 urethrocutaneous fistula, and 1 bladder stone formation]). Overall, satisfactory Michigan Incontinence Symptom Index urinary scores were reported in 8 (80%) men. On the Patient Global Index of Improvement, 6 (60%) men reported improvement in overall condition following surgery. All men (10/10) stated that they would recommend this procedure to others. CONCLUSION: For debilitated men with end-stage urethra and severe refractory stress urinary incontinence, permanent urethral ligation with chronic suprapubic tube drainage can restore continence and improve quality of life without the need for more invasive formal urinary diversion, though with a high risk of complication.
Asunto(s)
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Uretra / Incontinencia Urinaria de Esfuerzo / Esfínter Urinario Artificial / Ligadura Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Aged / Humans / Male / Middle aged Idioma: En Revista: Urology Año: 2017 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Uretra / Incontinencia Urinaria de Esfuerzo / Esfínter Urinario Artificial / Ligadura Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Aged / Humans / Male / Middle aged Idioma: En Revista: Urology Año: 2017 Tipo del documento: Article Pais de publicación: Estados Unidos