Several problems were encountered in the use of this technique which required therapeutic intervention in patients with meningomyelocele and postprostatectomy incontinence. These problems included: Change in penile shaft length during the 24 hr period of wear, resulting in device dislodgement in some patients. Following insertion of the Silastic implant dorsal to the urethra, a minimal penile length was obtained and the application of the device was secure. Spontaneous erections increased in frequency in the uncircumcised male patient and were associated with leakage of urine. Circumcision was then performed followed by increased security of the device application and lessened incidence of spontaneous erections. Incontinence devices may be classified as internal or implantable and external. Internal implantable devices are applicable in female and selected male patients. External incontinence devices of the type described in this communication may be applicable to males with neurological disorders of voiding, following urethral surgery, and in the management of comatose patients.
|Original language||English (US)|
|Number of pages||3|
|Journal||Archives of Physical Medicine and Rehabilitation|
|State||Published - Dec 1 1973|