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    artificial sphincter

    I have a t6 injury and a flaccid bladder i have had a lot of trouble with pressure leakage over the years so they did a sling surgery but that didn't fully correct the problem. After the sling surgery the pressures in my bladder were to high so they had to do bladder botox and I'll have to again in 2 months. I still get the stress incontinence so my urologist has suggested either an artificial valve or a bulking agent(but he does think that will fix the problem). So I am really considering the artificial valve has anyone else had one of these put in? What are the pros/cons?
    Its only at the brink of our own destruction that we learn to change.

    #2
    I researched that a lot years back, but I think the prognosis still remains the same that it is not a good option for somebody with a SCI and no sensation. It is quite a complex thing actually and a lot to go wrong. Have you thought about just wearing a leg bag?
    "Life is about how you
    respond to not only the
    challenges you're dealt but
    the challenges you seek...If
    you have no goals, no
    mountains to climb, your
    soul dies".~Liz Fordred

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      #3
      The surgery is quite extensive and it does require long term upkeep. Is there any reason you wouldn't try a sphincterotomy first?
      CKF
      The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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        #4
        What is a sphincterotomy?
        Its only at the brink of our own destruction that we learn to change.

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          #5
          Same issues here.

          The artificial sphincter would still leak with high pressures in the bladder. Also, there would be 'sloughing' of the urethra as well and since ours is so short ... !

          I go for Bptox but I don't think it will do anything since my bladder is the size of a walnut.

          Thinking about the bladders they can grow in a lab ... what's the deal with such an advancement without putting it to use!?

          I'm hopelessly awaiting something to return bladder function ...
          Roses are red. Tacos are enjoyable. Don't blame immigrants, because you're unemployable.

          T-11 Flaccid Paraplegic due to TM July 1985 @ age 12

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            #6
            A sphincterotomy is where they go and make tiny cuts into your bladder's sphincter, thus relieving the pressure. The negatives are, for many people they need to where a condom catheter and leg bag because they will dribble. The positive is that it takes away the pressure since the urine does not build up in the bladder.
            Another option to consider.
            CKF
            The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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