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Bladder & bladder sphincter prostheses
Bladder prostheses, bladder sphincter prostheses, intelligent sphincter prosthesis, artificial sphincter
The first bladder sphincter prosthesis was designed to prevent a patient from passing too much urine. This prosthesis is an artificial urethral sphincter that automatically flows fluid after urination. It requires no additional maneuvers and does not require blood transfusion. Although complications are rare, some patients may experience complications after the procedure, such as bleeding and abscess. The most common complication is mechanical failure of the cuff, which often requires replacement of the device.
A US is composed of a cuff, a pressure-regulating balloon, and a control pump. The cuff can be 3.5 to 11 cm in length and has five preset pressures. The surgeon will choose the cuff size during the operation, but most commonly uses a cuff sized 4.0 or 4.5 cm. The patient will then squeeze the pump several times. This process will cause the urethra to coapt and relieve the obstruction.
A woman's bladder will be enlarged after the procedure. A female should be motivated to use a catheter after the procedure to prevent postoperative urinary retention. The procedure is generally covered by insurance, although deductibles and coinsurance may apply. Prior to surgery, patients should check with their insurers to ensure that they have adequate hand functionality and manipulative strength. The patient should also be aware of the potential complications of the surgery. These include tissue atrophy, cuff erosion, migration, and device infection.
A bladder sphincter prosthesis can be useful in many cases. It allows a patient to control how much urine is ejected and helps prevent overflow of urine. Aside from preventing incontinence, this procedure can also help patients overcome sexual dysfunction. The risk of injury resulting in an infection after a bladder sphincter prosthesis is very low.
The bladder control device 10 has two retainers: a first retainer 35 is connected to the proximal end of a housing 15. The other part of the device is the second retainer, which is wider than the first retainer. Its purpose is to engage with the labia. Once in place, it will prevent leakage and return continence. This procedure also helps women who are having trouble urinating.
The first artificial bladder sphincter is implanted into the bladder through an abdominal incision. The implanted artificial urethral sphincter is a silicone rubber cuff with an inflatable bladder sphincter. This prosthesis is implanted through a single incision through the scrotum. The patient can leave the hospital the same day.
The second type of bladder sphincter prosthesis has three parts. In women, the implant is inserted into the urethra, while men have the implant placed in their scrotum or labia. A pump is placed in the scrotum to control the flow of fluid. The second part is a balloon placed in the space of Retzius, which is the opening into the anus.