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Inflatable artificial sphincter

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  • Inflatable artificial sphincter

    Inflatable artificial sphincter

    Definition:This is a surgical procedure to insert an inflatable artificial sphincter to treat either urinary sphincteric incontinence (artificial urinary sphincter will be inserted) or fecal incontinence (artificial rectal sphincter will be inserted) caused by a sphincter dysfunction or injury.

    The urinary and rectal sphincters are the muscles that allow your body to hold urine and feces, respectively.

  • #2
    Few people with SCI are appropriate candidates for an artificial sphincter. They are only appropriate for those with totally flaccid bladders which do not contract at all. This is one reason they are used primarily in those with spina bifida. I have experience placing them in some people with cauda equina or conus injuries.

    If you place one in a person who has a reflex or spastic bladder, they can cause excessive high pressures, reflux, and AD. You may still have to cath to empty the urine. The only advantage of their use for people with a flaccid bladder is that they keep you dry between caths, where some people may leak significant amounts of urine when they strain (valsalva) during exercise or ADLs.

    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.