Type of Surgery
Information
Last updated: 02/17/2009
Artificial urinary sphincter surgery
Surgery requires a few days of hospitalization. Oral and intravenous pain medications are administered, along with postoperative antibiotics. A general diet is available, usually on the evening of...
surgery. When the patient is able to walk, the urethral catheter is removed. Patients are discharged on the second day postoperatively, unless they have had other procedures and need extra recovery time. Patients may not lift heavy objects or engage in strenuous activity for approximately six weeks. After six to eight weeks, the patient returns to the physician for training in the use of the implant device.
Artificial anal sphincter surgery
Surgery hospitalization requires a few days with dietary restrictions and anti-diarrheal medicine to bind the bowels. Antibiotics are administered to lower the risk of infection, and skin incisions are cleaned frequently. Patients may not lift heavy objects or engage in strenuous activity for approximately six weeks. After the body has had time to heal over six to eight weeks, the patient returns to the physician for training in the use of the pump. Two or three sessions are required and after the training, the patient is encouraged to lead as normal a life as possible.
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Definition
Artificial sphincter insertion surgery is the implantation of an artificial valve in the genitourinary tract or in the anal canal to restore continence and psychological well being to individuals with urinary or anal sphincter insufficiency that leads to severe urinary or fecal incontinence.
Purpose
This procedure is useful for adults and children who have severe incontinence due to lack of muscle contraction by either the urethral sphincter or the bowel sphincter. The primary work of the lower urinary tract and the colon is the storage of urine and waste, respectively, until such time as the expulsion of urine or feces is appropriate. These holding and expelling functions in each system require a delicate balance of tension and relaxation of muscles, especially those related to conscious control of the act of urination or defecation through the valve-like sphincter in each system. Both types of incontinence have mechanical causes related to reservoir adequacy and sphincter, or "gatekeeper" control, as well as mixed etiologies in the chemistry, neurology, and psychology of human makeup. The simplest bases of incontinence lie in the mechanical components of reservoir mobility and sphincter muscle tone. These two factors receive the most surgical attention for both urinary and fecal incontinence.
From http://www.answers.com/topic/artificial-sphincter-insertion
Other Information
In 2000, the estimated number of doctor visits and outpatient hospital visits by adults aged 20 or older with “calculus of kidney and ureters” as a listed diagnosis was of 2 million visits with urolithiasis as the primary diagnosis.
From: NKUDIC
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