Urethral erosion developed after implantation of artificial urinary sphincter

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Abstract


The case report presents a clinical observation of urethral erosion that developed after a long-term presence of a urethral catheter in a patient after implantation of an artificial bladder sphincter. The stages of the patient’s surgical treatment are described. The frequency of such complications in patients with an established artificial bladder sphincter according to literature data is presented.


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About the authors

Pavel S. Kyzlasov

State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency of Russia

Email: dr.kyzlasov@mail.ru

Russian Federation, 123098, Moscow, Marshala Novikova street, 23

Dr. Sci. (Med.), Professor of Department Urology and Andrology, Head of Center of Urology and Andrology

Ali T. Mustafaev

State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency of Russia

Email: dr.mustafayevat@gmail.com

Russian Federation, 123098, Moscow, Marshala Novikova street, 23

Postgraduate

Daniil V. Kazantsev

State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency of Russia

Author for correspondence.
Email: kazancev_daniil@mail.ru
ORCID iD: 0000-0002-2745-8359

Russian Federation, 123098, Moscow, Marshala Novikova street, 23

Clinical Resident

Evgenii V. Volokitin

Podgorbunsky Kuzbass Clinical Hospital of Emergency Medical Care

Email: evgvolokitin82@mail.ru

Russian Federation, 650000, Kemerovo, N. Ostrovskogo street, 22

Urologist

References

  1. Leibovich BC, Barrett DM. Use of the artificial urinary sphincter in men and women. World J Urol. 1997;15(5):316-319. https://doi.org/10.1007/BF02202018.
  2. Elliott DS, Barrett DM. Mayo Clinic long-term analysis of the functional durability of the AMS800 artificial urinary sphincter: a review of 323 cases. J Urol. 1998;159(4):1206-1208.
  3. Gousse AE, Madjar S, Lambert MM, Fishman IJ. Artificial urinary sphincter for post-radical prostatectomy urinary incontinence: long-term subjective results. J Urol. 2001;166(5):1755-1758.
  4. Raj GV, Peterson AC, Toh KL, Webster GD. Outcomes following revisions and secondary implantation of the artificial urinary sphincter. J Urol. 2005;173(4):1242-1245. https://doi.org/10.1097/01.ju.0000152315.91444.d0.
  5. Lai HH, Hsu EI, Teh BS, et al. 13 years of experience with artificial urinary sphincter implantation at Baylor College of Medicine. J Urol. 2007;177(3):1021-1025. https://doi.org/10.1016/j.juro.2006.10.062.
  6. Agarwal DK, Linder BJ, Elliott DS. Artificial urinary sphincter urethral erosions: Temporal patterns, management, and incidence of preventable erosions. Indian J Urol. 2017;33(1):26-29. https://doi.org/10.4103/0970-1591.195758.
  7. Jamaer C, De Bruyn H, Van Renterghem A, et al. Penoscrotal Incision for the Primary Implantation of an Artificial Urinary Sphincter. Curr Urol. 2020;14(2):74-78. https://doi.org/10.1159/000499256.

Supplementary files

Supplementary Files Action
1.
Fig. 1. Uretroscopy. Urethral erosion

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2.
Fig. 2. Separation of the urethra from surrounding tissue

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3.
Fig. 3. Suturing of the urethral defect

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4.
Fig. 4. View of the surgical wound after suturing the urethral defect

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Copyright (c) 2021 Kyzlasov P.S., Mustafaev A.T., Kazantsev D.V., Volokitin E.V.

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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