Total urinary incontinence represents one of the most distressing urologic problems affecting the patientss social psychological and economic aspects of life In this work we present a new technique fo ID: 878040
Download Pdf The PPT/PDF document "Fayed A S Shoukry M S Koreitim A Hassoun..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
1 Fayed A. S, Shoukry M. S, Koreitim A, Ha
Fayed A. S, Shoukry M. S, Koreitim A, Hassouna M. E Faculty of Medicine, Alexandria University FAYED URETHRAL COMPRESSION OPERATION (FUCO) FOR THE TREATMENT OF TOTAL URINARY INCONTINENCE IN MALES Aims of Study Total urinary incontinence represents one of the most distressing urologic problems affecting the patientss social, psychological, and economic aspects of life. In this work, we present a new technique for achieving continence in males with total urinary incontinence.Methods Eighteen male patients with total urinary incontinence due to pelvic trauma, post radical prostatectomy, benign prostatic surgery or neurogenice disease were included in this study. A transverse incision is made in the distal third of the ventral aspect of the penis. The corpora cavernosa are dissected and adequately mobilised both ventrally and dorsally. A 3 cm longitudinal incision is made in each corpus caversnosum ventrally. The medial edges of both incisions are sutured together ventral to the urethra using 4/0 Vicryl sutures. This is followed by suturing the lateral edges together resulting in anastomosis of both corpora cavernosa ventral to the urethra, hence smoothly compressing it. A 12 Fr. Fooleys catheter is left in the urethra for 4 weeks.Results Operative time ranged between 35 and 50 minutes (mean 42 minutes). The patients were followed for 6 to 18 months (mean 12 months). Thirteen patients (72.2%) were completely dry following the procedure. Two patients had retention and were under intermittent clean catheterisation using a short catheter. Revision of the procedure was successfully performed in 3 patients using the same technique at a more proximal level 4 months later. This gave 86.6% overall success rate for the procedure. Conclusions Fayed Urethral Compression Operation (FUCO) for the treatment of total urinary incontinence is simple, fast, easy to perform, and of short learning curve. Even in failures, it could be easily repeated at a more proximal level with a high success rate. The chances to perform more invasive anti-incontinence procedures is preserved.