Barrett D M, Furlow W L
J Urol. 1984 Aug;132(2):268-9. doi: 10.1016/s0022-5347(17)49585-1.
Although the artificial genitourinary sphincter is ideally suited for incontinent patients who can empty the bladder completely, we have observed 22 patients with artificial sphincters who also perform intermittent self-catheterization to augment bladder emptying. No cuff erosions have occurred to date, with 11 patients on intermittent catheterization for more than 30 months. In patients who will require intermittent self-catheterization after sphincter implantation the cuff should be placed around the bladder neck. We believe that patients with sphincteric incontinence and decreased bladder contractility resulting in excessive residual urine volume are reasonable candidates for use of the artificial sphincter with intermittent self-catheterization.
尽管人工泌尿生殖括约肌非常适合那些能够完全排空膀胱的尿失禁患者，但我们观察到22例植入人工括约肌的患者也进行间歇性自我导尿以增加膀胱排空。迄今为止，尚未发生袖带侵蚀，11例患者间歇性导尿超过30个月。对于括约肌植入后需要间歇性自我导尿的患者，应将袖带置于膀胱颈周围。我们认为，括约肌性尿失禁且膀胱收缩力下降导致残余尿量过多的患者是使用人工括约肌并进行间歇性自我导尿的合理人选。
