Rigicon Talks - Session 2 - Top 10 Questions Answered about Artificial Urinary Sphincters скачать в хорошем качестве

Rigicon Talks - Session 2 - Top 10 Questions Answered about Artificial Urinary Sphincters

Prof. Koenraad van Renterghem (Belgium) Mr. Rowland Rees (UK) Dr. Tobias Pottek (Germany) Sections 00:00 Welcome to Rigicon Talks 00:30 Prof. Koenraad van Renterghem 01:10 Mr. Rowland Rees 01:42 Dr. Tobias Pottek 02:20 How do I know if I am a candidate for the artificial urinary sphincter? 04:15 How does the artificial urinary sphincter work? 06:35 Can I choose the type of AUS I receive? 10:12 Will the AUS be noticeable to others? 12:55 What can I expect during recovery from AUS surgery? 15:56 How do I prepare for AUS surgery? 20:50 What should I discuss with my doctor before getting an AUS? 26:35 Can I still engage in physical activities with an AUS? 30:33 Can I have an MRI with an artificial urinary sphincter? 31:55 How long does an AUS last, and what is the likelihood of needing a revision? 36:45 Last advice Follow Rigicon on social media • Twitter -   / rigiconurology   • Instagram -   / rigiconurology   • Facebook -   / rigiconurology   • LinkedIn -   / rigicon   𝐅𝐀𝐐 𝐇𝐨𝐰 𝐝𝐨 𝐈 𝐤𝐧𝐨𝐰 𝐢𝐟 𝐈 𝐚𝐦 𝐚 𝐜𝐚𝐧𝐝𝐢𝐝𝐚𝐭𝐞 𝐟𝐨𝐫 𝐭𝐡𝐞 𝐚𝐫𝐭𝐢𝐟𝐢𝐜𝐢𝐚𝐥 𝐮𝐫𝐢𝐧𝐚𝐫𝐲 𝐬𝐩𝐡𝐢𝐧𝐜𝐭𝐞𝐫 (𝐀𝐔𝐒)? Candidates for an artificial urinary sphincter typically have stress urinary incontinence, often following prostate surgery. This incontinence occurs when pressure on the abdomen causes urine leakage because the pelvic floor muscles aren’t strong enough. AUS is recommended when severe incontinence doesn’t respond to pelvic floor exercises or other treatments. 𝐇𝐨𝐰 𝐝𝐨𝐞𝐬 𝐭𝐡𝐞 𝐚𝐫𝐭𝐢𝐟𝐢𝐜𝐢𝐚𝐥 𝐮𝐫𝐢𝐧𝐚𝐫𝐲 𝐬𝐩𝐡𝐢𝐧𝐜𝐭𝐞𝐫 𝐰𝐨𝐫𝐤? The AUS is a mechanical device that mimics the function of the natural sphincter. It consists of a cuff around the urethra, a pump in the scrotum, and a pressure-regulating balloon. Pressing the pump releases the cuff’s pressure, allowing the bladder to empty. After urination, the cuff refills to maintain continence. It’s a simple, effective solution for urinary control. 𝐂𝐚𝐧 𝐈 𝐜𝐡𝐨𝐨𝐬𝐞 𝐭𝐡𝐞 𝐭𝐲𝐩𝐞 𝐨𝐟 𝐚𝐫𝐭𝐢𝐟𝐢𝐜𝐢𝐚𝐥 𝐮𝐫𝐢𝐧𝐚𝐫𝐲 𝐬𝐩𝐡𝐢𝐧𝐜𝐭𝐞𝐫 𝐈 𝐫𝐞𝐜𝐞𝐢𝐯𝐞? Yes, several types of AUS are available, produced by different manufacturers. The choice depends on your medical needs and the options available in your country. It’s important to discuss with your doctor the advantages and disadvantages of each system. 𝐖𝐢𝐥𝐥 𝐭𝐡𝐞 𝐚𝐫𝐭𝐢𝐟𝐢𝐜𝐢𝐚𝐥 𝐮𝐫𝐢𝐧𝐚𝐫𝐲 𝐬𝐩𝐡𝐢𝐧𝐜𝐭𝐞𝐫 𝐛𝐞 𝐧𝐨𝐭𝐢𝐜𝐞𝐚𝐛𝐥𝐞 𝐭𝐨 𝐨𝐭𝐡𝐞𝐫𝐬? No, the AUS is not visible to others. The components, including the cuff and balloon, are internal and concealed. The only part that can be felt is the pump in the scrotum, which is small and necessary for operating the device. It is discreet and unnoticeable from the outside. 𝐖𝐡𝐚𝐭 𝐜𝐚𝐧 𝐈 𝐞𝐱𝐩𝐞𝐜𝐭 𝐝𝐮𝐫𝐢𝐧𝐠 𝐫𝐞𝐜𝐨𝐯𝐞𝐫𝐲 𝐟𝐫𝐨𝐦 𝐀𝐔𝐒 𝐬𝐮𝐫𝐠𝐞𝐫𝐲? Recovery from AUS surgery takes a few weeks. Patients may stay in the hospital for a night, and a catheter is usually placed temporarily. The device is left inactive for about six weeks to allow healing. During this time, patients will need to continue using pads. Physical activity should be limited in the first two weeks, with full recovery expected after six weeks when the device is activated. 𝐇𝐨𝐰 𝐝𝐨 𝐈 𝐩𝐫𝐞𝐩𝐚𝐫𝐞 𝐟𝐨𝐫 𝐀𝐔𝐒 𝐬𝐮𝐫𝐠𝐞𝐫𝐲? Preparation includes quitting smoking, as it increases the risk of infection, and managing conditions like diabetes and high blood pressure. Working closely with your doctor to control these factors will help ensure a smooth surgery and recovery. 𝐖𝐡𝐚𝐭 𝐬𝐡𝐨𝐮𝐥𝐝 𝐈 𝐝𝐢𝐬𝐜𝐮𝐬𝐬 𝐰𝐢𝐭𝐡 𝐦𝐲 𝐝𝐨𝐜𝐭𝐨𝐫 𝐛𝐞𝐟𝐨𝐫𝐞 𝐠𝐞𝐭𝐭𝐢𝐧𝐠 𝐚𝐧 𝐀𝐔𝐒? Discuss the severity of your incontinence and whether surgery is necessary. Alternative treatments like male slings may be an option for mild cases. It’s also important to understand the risks, such as infection or device failure, and ensure your insurance covers the procedure, as costs can vary. 𝐂𝐚𝐧 𝐈 𝐬𝐭𝐢𝐥𝐥 𝐞𝐧𝐠𝐚𝐠𝐞 𝐢𝐧 𝐩𝐡𝐲𝐬𝐢𝐜𝐚𝐥 𝐚𝐜𝐭𝐢𝐯𝐢𝐭𝐢𝐞𝐬 𝐰𝐢𝐭𝐡 𝐚𝐧 𝐀𝐔𝐒? Yes, AUS surgery is designed to help restore normal physical activity. After recovery, most patients can resume activities like running, swimming, and golfing. 𝐂𝐚𝐧 𝐈 𝐡𝐚𝐯𝐞 𝐚𝐧 𝐌𝐑𝐈 𝐰𝐢𝐭𝐡 𝐚𝐧 𝐀𝐔𝐒? Yes, the AUS is safe for MRI scans. These devices are MRI-conditioned, meaning they’ve been tested and approved for use with MRI machines. Patients can safely undergo MRI exams, even those with high-powered scanners, without any issues. 𝐇𝐨𝐰 𝐥𝐨𝐧𝐠 𝐝𝐨𝐞𝐬 𝐚𝐧 𝐀𝐔𝐒 𝐥𝐚𝐬𝐭, 𝐚𝐧𝐝 𝐰𝐡𝐚𝐭 𝐢𝐬 𝐭𝐡𝐞 𝐥𝐢𝐤𝐞𝐥𝐢𝐡𝐨𝐨𝐝 𝐨𝐟 𝐧𝐞𝐞𝐝𝐢𝐧𝐠 𝐚 𝐫𝐞𝐯𝐢𝐬𝐢𝐨𝐧? An AUS typically lasts 10-15 years, but about 30% of patients may need revision surgery within five years due to mechanical issues or urethral atrophy. By 10 years, 50% of devices are still functioning. Revision surgeries are common but generally straightforward. FAQ Disclaimer These questions and answers have been compiled from the statements made by the physician in the relevant videos. This content is provided for informational purposes only and does not reflect the Rigicon's views. It is not intended to substitute for professional medical advice, diagnosis, or treatment. If you have any health questions or concerns, please consult a physician.