Objective: To present a series of 63 patients with urinary incontinence due to sphincteric incompetence who underwent the implantation of an AMS-800 artificial sphincter.
Methods: From 1984 to December 2002 a total of 69 patients received this prosthesis, 63 of which were available for review. The cause of incontinence was sphincter incompetence in all cases, said secondary to prostate surgery, neurogenic bladder, post-traumatic urethral lesion, and epispadias.
Objectives: To perform an update on the issue of detrusor overactivity, its incidence and treatment.
Methods: We developed this article combining the most recent publications about current knowledge and concepts on detrusor overactivity, our own experience and the database from the Hospital Ramón y Cajal Urodynamics Unit.
Results/conclusions: Detrusor overactivity is a high incidence entity resulting from different pathologies that alter detrusor muscle function and control mechanisms.