Koca Orhan, Güzel Rasim, Kırkık Duygu, Karaman M İhsan, Chung Eric
Department of Urology, Medistate Hospital, Istanbul, Turkey.
Department of Medical Biology, Medicine Faculty, Arel University, Istanbul, Turkey.
Transl Androl Urol. 2024 Aug 31;13(8):1762-1766. doi: 10.21037/tau-23-464. Epub 2024 May 20.
The modern AMS 800 artificial urinary sphincter (AUS) is often considered the standard of care for the treatment of moderate to severe stress urinary incontinence in male patients. Nonetheless, the AMS 800 device has several inherent limitations, and these factors can potentially impact its clinical utility and impede excellent clinical outcomes. The new Rigicon AUS devices such as ContiClassic and ContiReflex urinary sphincters are designed to overcome some of the existing issues pertaining to the AMS 800 device. The ContiClassic device is similar in terms of device design to the AMS 800 apart from the inclusion of a hydrophilic coating, has a greater range of cuff sizes with 0.25-cm diameter increments, and an Easy Clink Connectors which negates the need for an assembly tool. In contrast, The ContiReflex device differs from the ContiClassic model in that it features an extra stress relief balloon (SRB) to provide a safeguard on the urethral occlusive mechanism against any sudden increase in intra-abdominal pressure, and a larger pump system that is responsible to cycle fluid between the higher pressure two-balloon system and the sphincteric cuff. The following brief report evaluates the current device design and technology of the Rigicon ContiClassic and ContiReflex AUS devices.
现代的AMS 800人工尿道括约肌(AUS)通常被视为男性患者中重度压力性尿失禁治疗的护理标准。尽管如此,AMS 800装置存在一些固有局限性,这些因素可能会影响其临床效用并阻碍取得出色的临床效果。新型的Rigicon AUS装置,如ContiClassic和ContiReflex尿道括约肌,旨在克服与AMS 800装置相关的一些现有问题。ContiClassic装置在设计上与AMS 800相似,只是增加了亲水性涂层,袖带尺寸范围更大,直径增量为0.25厘米,并且有一个简易连接头,无需组装工具。相比之下,ContiReflex装置与ContiClassic型号的不同之处在于,它具有一个额外的应力缓解球囊(SRB),以保护尿道闭塞机制免受腹内压突然升高的影响,还有一个更大的泵系统,负责在高压双球囊系统和括约肌袖带之间循环液体。以下简短报告评估了Rigicon ContiClassic和ContiReflex AUS装置的当前设备设计和技术。