Surgical Procedures for Repairing Artificial Urethral Sphincter Exposed Outside the Scrotum: A Case Report

Wang J, Meng L, Wang X, Jing J, Yan Z, Wang X, Zhang J and Zhang Y

Department of Urology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences & Peking Union Medical College, China

^*Correspondance to: Yaoguang Zhang 

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Abstract:

Background: Artificial Urethral Sphincter (AUS) has been considered as the golden standard for Post-Radical Prostatectomy Urinary Incontinence (PRPUI). The urological diagnosis indicated AUS device must be removed from body when implant-related infection happens and the new device needs to be implanted 3 to 6 months later. However, whether the device is supposed to be completely removed from body for all types of AUS related infections wasn’t clearly described in the guidelines, besides, the method of repair surgery wasn’t clearly presented. Case Report: This case report described a surgical method of repairing AUS device, which indicated that it is possible to perform repair surgery for AUS device under the condition of adequate antibiotic irrigation during the operation rather than remove the entire device for the situation of control pump exposed outside the scrotum. In addition, the clinical promotion of this surgical method was supposed to enrich the surgical treatment system of AUS and reduce the medical expenditure of patients. After half of 1 year’s follow up, the patient's scrotal skin healed perfectly and didn’t have symptoms of systemic infection, besides, the patient uses a maximum of 1 pad per day currently, resulting in particular satisfaction with the treatment effect. Conclusion: Based on the successful repair of this case, we indicated that AUS device can be repaired rather than removal complete in the case of local infection. This clinical promotion of the surgical method will enrich the surgical treatment system of AUS and reduce the medical expenditure of patients.

Keywords:

Artificial Urethral Sphincter (AUS); Post-Radical Prostatectomy Urinary Incontinence (PRPUI); Repairing operation

Cite the Article:

Wang J, Meng L, Wang X, Jing J, Yan Z, Wang X, et al. Surgical Procedures for Repairing Artificial Urethral Sphincter Exposed Outside the Scrotum: A Case Report. World J Surg Surgical Res. 2024; 7: 1552..