De AMS-sfincterprothese; ervaringen bij volwassenen en kinderen

– During the period 1982-1987 the AMS sphincter prosthesis was implanted in 6 children and 19 adults between the ages of 9 and 84 years. All had severe urinary incontinence that had failed to respond to drug treatment. All six children became continent with, at worst, slight nocturnal leakage of urine. In one case, cuff leakage necessitated revision. Of the adult patients, 12 became continent after activation of the prosthesis, and 4 improved. Revision was necessary in 11 patients; the most frequent complications were cuff erosion (3 patients), infection of the prosthesis (2 patients), cuff leakage (2 patients) and loss of cuff compression (2 patients). Removal of the prosthesis became necessary in six patients. At the time of writing, nine adult patients are wholly or virtually continent and three have improved significantly owing to the sphincter prosthesis.