• Vol. 34 No. 5, 389–390
  • 15 June 2005

Artificial Urinary Sphincter in Adult Male with Neurogenic Stress Urinary Incontinence: A Rare Indication

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ABSTRACT

Introduction: The artificial urinary sphincter (AUS) is a rare indication for stress urinary incontinence secondary to spinal cord injury. Clinical Picture: A 48-year-old male sustained spinal cord injury, resulting in detrusor acontractility and urinary stress incontinence. Treatment and Outcome: An AUS was implanted and the patient achieved complete urinary continence. Conclusion: The AUS is an appropriate and durable device for management of patients with neurogenic stress incontinence.


The artificial urinary sphincter (AUS) is an established modality for the management of stress urinary incontinence. It is usually used in adults with post-radical prostatectomy incontinence1 and in children with neurogenic voiding dysfunction usually secondary to spinal dysraphism.2 However, it is rarely used in adults with neurogenic stress incontinence due to spinal cord injury and to our knowledge, this is the first such case to be reported locally.

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