Incontinence, Intermittent Self-Catheterization and the Artificial Genitourinary Sphincter

Abstract

Although the artificial genitourinary sphincter is ideally suited for incontinent patients who can empty the bladder completely, patients (22) with artificial sphincters were observed who also perform intermittent self-catheterization to augment bladder emptying. No cuff erosions have occurred to date, with 11 patients on intermittent catheterization for > 30 mo. In patients who will require intermittent self-catheterization after sphincter implantation the cuff should be placed around the bladder neck. Patients with sphincteric incontinence and decreased bladder contractility resulting in excessive residual urine volume may be reasonable candidates for use of the artificial sphincter with intermittent self-catheterization.