The Artificial Urinary Sphincter Infection that Occurred 10 Years Later from ImplantationHidenori Zakoji*, Hideyasu Inuzuka, Shoji Kudo, Hiroshi Nakagomi and Masayuki Takeda
Department of Urology, Faculty of Medicine, University of Yamanashi, Yamanashi, Japan
- *Corresponding Author:
- Hidenori Zakoji
Department of Urology
Faculty of Medicine
University of Yamanashi, Yamanashi, Japan
E-mail: [email protected]
Received date July 09, 2013; Accepted date July 26, 2013; Published date July 28, 2013
Citation: Zakoji H, Inuzuka H, Kudo S, Nakagomi H, Takeda M (2013) The Artificial Urinary Sphincter Infection that Occurred 10 Years Later from Implantation. Med Surg Urol 2:111. doi:10.4172/2168-9857.1000111
Copyright: © 2013 Zakoji H, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
An 82-year-old diabetic man with AMS 800™ in the bulbar urethra was referred to our hospital with lower abdominal pain and swelling. He underwent open sigmoidectomy with indwelling of urethral catheter a month ago. Abdominal and pelvic CT showed the inflammatory change around the device. Urethroscopy revealed urethral erosion and bulge of cuff into the lumen of urethra. Immediately, he was treated with a course of antibiotics administration, however, the device tube became exposed on the outside of scrotum skin 6 months later. We have removed the device except cuff and a part of tube because it was thought to be difficult to separate it from the urethra.
The infection rate of AMS800TM is known to be 3.3~27.8%, mostly infection has occurred in 2 years. It was a rare case of infection that occurred 10 years later from implantation in association with abdominal surgery.