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Rigicon ContiClassic和ContiReflex人工尿道括约肌装置。

Rigicon ContiClassic and ContiReflex artificial urinary sphincter devices.

作者信息

Koca Orhan, Güzel Rasim, Kırkık Duygu, Karaman M İhsan, Chung Eric

机构信息

Department of Urology, Medistate Hospital, Istanbul, Turkey.

Department of Medical Biology, Medicine Faculty, Arel University, Istanbul, Turkey.

出版信息

Transl Androl Urol. 2024 Aug 31;13(8):1762-1766. doi: 10.21037/tau-23-464. Epub 2024 May 20.

DOI:10.21037/tau-23-464
PMID:39280675
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11399054/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6864/11399054/be24a23ed764/tau-13-08-1762-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6864/11399054/a1b5c1476b70/tau-13-08-1762-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6864/11399054/be24a23ed764/tau-13-08-1762-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6864/11399054/a1b5c1476b70/tau-13-08-1762-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6864/11399054/be24a23ed764/tau-13-08-1762-f2.jpg

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Int J Urol. 2023 Feb;30(2):128-138. doi: 10.1111/iju.15083. Epub 2022 Nov 14.
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Long-term outcomes and patient satisfaction after artificial urinary sphincter implantation.人工尿失禁括约肌植入后的长期结果和患者满意度。
World J Urol. 2022 Feb;40(2):497-503. doi: 10.1007/s00345-021-03877-1. Epub 2021 Nov 25.
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Artificial urinary sphincter surgery in the special populations: neurological, revision, concurrent penile prosthesis and female stress urinary incontinence groups.特殊人群中的人工尿失禁括约肌手术:神经、翻修、同期阴茎假体和女性压力性尿失禁组。
Asian J Androl. 2020 Jan-Feb;22(1):45-50. doi: 10.4103/aja.aja_128_19.
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Incontinence after Prostate Treatment: AUA/SUFU Guideline.前列腺治疗后尿失禁:AUA/SUFU 指南。
J Urol. 2019 Aug;202(2):369-378. doi: 10.1097/JU.0000000000000314. Epub 2019 Jul 8.
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