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Theory and Practice in Medicine, 2015, Vol. 21, No. 2.2


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FIRST OUTCOMES OF IMPLANTING ZSI 375 URINARY SPHYNCTER IN TREATMENT OF MALE URINARY INCONTINENCE

Aušra Černiauskienė, Feliksas Jankevičius, Vitalijus Usovas, Augustinas Matulevičius


Correspondence Address: ausra.cerniauskiene@santa.lt

Key words: male urinary incontinence, artificial urinary sphyncter, radical prostatectomy, ZSI 375.
Objective. Our purpose is to provide first results of artificial urinary sphincter ZSI 375 inplantation for treatment of male urinary incontinence after radical prostatectomy. To evaluate effectiveness and safety of ZSI 375 artificial urinary sphincter patiens.
Materials and methods. 4 patients with moderate to severe urinary incontinence after radical prostatectomy had artificial urinary sphincter ZSI 375 implantation during the 2013–2014. For these patients, urinary incontinence conservative treatment has not effective. All patients before surgery examined. For all patients progression of prostate cancer, urethral strictures, residual urine and urinary tract infections were not found. Patients were checked one month after the activation of the artificial sphincter.
Results. 5 artificial sphincters were implanted in 4 patients, including one patient repeatedly, because the first did not work for failure of implanted mechanical sphincter. After two months has been activated 3 sphincters, one sphincter was not activated because of device failure and one patient had a scrotal hematoma which leaded a delayed device activation. After checking the 3 patients within 1 month after the activation of the sphincter, for 2 patients wasn’t need sanitary pad and for one patient was enough just one pad.                                                                                                                                              

Conclusions. Based on the literature and our first experience in implantation of artificial urinary sphincter ZSI 375 is safe and efective treatment method for male urinary incontinence. This sphincter superior to others because of their elasticity, wider indications for implantation, and this sphincter can be the radiological controlled. Implantation of ZSI 375 is minimally invasive, technically simple and quickly learned surgery. Furthermore it is possible to control the device and cuff pressure during and after the operation.



DOI: 10.15591/mtp.2015.029
Submited: January 15, 2015
Accepted: February 26, 2015
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