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Urethral support with PelviSoft™ after artificial urinary sphincter erosion at revision procedures

Die Verstärkung der Harnröhre mit Pelvisoft™ bei rezidiveeingriffen nach künstlichem harnröhrensphinkter mit arrosion

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Zusammenfassung

Die Implantation einer künstlicher hydraulischer Sphinktermanschette (AMS 800) wird als chirurgischer Goldstandard bei abwesender Restfunktion des Schließmuskels betrachtet. Nach einer Harnröhrenarosion bei liegender künstlicher hydraulischer Sphinktermanschette (AMS 800) muss das gesamte System ausgebaut werden. In dem die Harnröhre über die Schwachstelle, nach Abheilung, mit einem acellulären Kollagen BioMesh (PelviSoft™) verstärkt wird kann neuerlich ein künstliches Schließmuskelsystem implantiert werden. Die Kurzzeitergebnisse sind ermutigend. Die Funktion des Sphinktersystems scheint durch die Harnröhrenwandverstärkung nicht gefährdet zu sein, bzw. die Manschette kann die Harnröhre genügend komprimieren um die Kontinenz zu gewährleisten.

Summary

An artificial urinary sphincter cuff (AMS 800™) is regarded the gold standard for surgically treating urinary incontinence without residual sphincter function. After erosion of an AMS 800™ into the urethral lumen the whole system has to be explanted. When the urethral wall is supported and covered after healing with a porcine dermal acellular collagen matrix BioMesh (PelviSoft™), a new artificial urinary sphincter may be implanted. The follow-up of up to two years seems promising in preventing erosion of the new cuff through the strengthened urethra wall, without compromising the functionality of the artificial urinary sphincter.

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Authors and Affiliations

  1. Neurology Unit, Medical University of Innsbruck, Innsbruck, Austria

    Peter Rehder

  2. Department of Urology, Medical University of Innsbruck, Innsbruck, Austria

    Germar-Michael Pinggera, Michael Mitterberger, Alexandre E. Pelzer & Christian Gozzi

  3. Department of Urology, Medical University of Vienna, Vienna, Austria

    Ralf Herwig

Authors
  1. Peter Rehder
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  2. Germar-Michael Pinggera
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  3. Michael Mitterberger
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  4. Alexandre E. Pelzer
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  5. Christian Gozzi
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  6. Ralf Herwig
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Correspondence to Peter Rehder.

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Rehder, P., Pinggera, GM., Mitterberger, M. et al. Urethral support with PelviSoft™ after artificial urinary sphincter erosion at revision procedures. Wien Med Wochenschr 157, 170–172 (2007). https://doi.org/10.1007/s10354-007-0406-x

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  • DOI: https://doi.org/10.1007/s10354-007-0406-x

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