Magnetic urethral closure device. Negative outcome after implantation for the treatment of female urinary incontinence

We report on a negative outcome after implantation of a magnetic urethral closure device, consisting of one part screwed into the pubic bone and one part as a vaginal cone, for the treatment of urinary stress incontinence grade III. Continence was never achieved for the patient. The urethra narrowed...

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Bibliographic Details
Published in:Urologe. Ausgabe A 2015-07, Vol.54 (7), p.1010-1013
Main Authors: Anding, R, van Ahlen, H, Müller, S C, Latz, S
Format: Article
Language:ger
Subjects:
Catheters, Indwelling
Equipment Design
Equipment Failure Analysis
Female
Humans
Magnetics - instrumentation
Middle Aged
Treatment Failure
Treatment Outcome
Urethra - surgery
Urinary Catheters
Urinary Incontinence - diagnosis
Urinary Incontinence - surgery
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Summary:We report on a negative outcome after implantation of a magnetic urethral closure device, consisting of one part screwed into the pubic bone and one part as a vaginal cone, for the treatment of urinary stress incontinence grade III. Continence was never achieved for the patient. The urethra narrowed over time due to erosion and scarring and the patient started intermittent catheterization, because spontaneous micturition was not possible. The magnet was broken, the bladder neck was eroded, several fragments were found in the bladder, and numerous fragments were scattered throughout the small pelvis. Surgery consisted of removing most of the fragments, followed by bladder neck closure and suprapubic diversion.
ISSN:0340-2592
1433-0563
DOI:10.1007/s00120-015-3844-x