1,439 results match your criteria Artificial Urinary Sphincter


Bacterial Cultures at the Time of Artificial Urinary Sphincter Revision Surgery in Clinically Uninfected Devices: A Contemporary Series.

J Urol 2019 Jan 31. Epub 2019 Jan 31.

Purpose: We sought to evaluate the rate of bacterial colonization in artificial urinary sphincters (AUS) during revision surgery for non-infectious etiologies.

Materials And Methods: We evaluated bacterial culture swab data from all explanted AUS components (cuff, pump, and reservoir) in patients undergoing revision surgery between February 2016 and July 2018. Patients undergoing revision for infection or erosion were excluded. Read More

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http://dx.doi.org/10.1097/JU.0000000000000102DOI Listing
January 2019

Dual Prosthetic Implantation After Radical Cystoprostatectomy and Neobladder: Outcomes of the Inflatable Penile Prosthesis and Artificial Urinary Sphincter in Bladder Cancer Survivors.

Urology 2019 Jan 18. Epub 2019 Jan 18.

USC Institute of Urology, USC/Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, CA.

Objectives: To determine the impact of radical cystectomy and orthotopic neobladder (NB) diversion on device-related outcomes in patients who undergo subsequent placement of both, an artificial urinary sphincter (AUS) and 3-piece inflatable penile prosthesis.

Materials And Methods: Using an institutional prosthetic database, we identified 39 patients who underwent radical cystectomy and NB and subsequent implantation of both prosthetic devices from 2003 to 2017. Patient demographics, perioperative data, and postoperative outcomes including prosthetic infection, mechanical failure, revision surgery, and functional outcomes were examined and compared to an appropriate matched group of patients (n = 48, non-neobladder group). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00904295193006
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http://dx.doi.org/10.1016/j.urology.2019.01.010DOI Listing
January 2019
8 Reads

Prospective analysis of artificial urinary sphincter AMS 800 implantation after buccal mucosa graft urethroplasty.

World J Urol 2019 Jan 17. Epub 2019 Jan 17.

Department of Urology, University Hospital Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany.

Objectives: To analyze functional outcomes and complication rates of artificial urinary sphincter (AUS) implantation in patients who had undergone buccal mucosa graft urethroplasty (BMGU) beforehand.

Patients And Methods: This prospectively maintained single-center database comprises data from 236 patients from 2009 to 2015 who underwent AUS implantation. A total of 17 patients after BMGU were available for analysis. Read More

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http://dx.doi.org/10.1007/s00345-019-02631-yDOI Listing
January 2019
3 Reads

Neurogenic stress urinary incontinence: is there a place for Adjustable Continence Therapy (ACT™ and ProACT™, Uromedica, Plymouth, MN, USA)? A retrospective multicenter study.

Spinal Cord 2019 Jan 9. Epub 2019 Jan 9.

Department of Neurological Physical Medicine and Rehabilitation, Saint-Jacques Hospital, Nantes University Hospital, Nantes, France.

Study Design: Retrospective cohort study.

Objectives: To assess the effectiveness and complications of treatment for neurogenic stress urinary incontinence (nSUI) by Adjustable Continence Therapy (ACT™ and ProACT™).

Setting: France. Read More

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http://dx.doi.org/10.1038/s41393-018-0219-3DOI Listing
January 2019
1 Read

[Robotic-assisted laparoscopic implantation of artificial urinary sphincter AMS 800 in woman: Single center experience].

Prog Urol 2018 Dec 31. Epub 2018 Dec 31.

Service d'urologie, CHU de Brest, Cavale-Blanche, boulevard Tanguy-Prigent, 29200 Brest, France.

Introduction: Artificial urinary sphincter (AUS) is the treatment of last resort of stress urinary incontinence (UI) due to intrinsic sphincter deficiency (IS). The implantation procedure has been described by open surgery and laparoscopy with a significative rate of complication by Lucas et al. (2012) and Costa et al. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S11667087183068
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http://dx.doi.org/10.1016/j.purol.2018.12.007DOI Listing
December 2018
5 Reads

The Changing Face of Artificial Urinary Sphincter Use in France: The Future is Female.

Eur Urol Focus 2018 Dec 23. Epub 2018 Dec 23.

Department of Urology, University of Rouen, Rouen, France.

Analyzing concurrently data from the manufacturer and from a national comprehensive administrative claim database (PMSI)we found that, overall, the total number of AUS implanted (male+female) increased from 2012 to 2017 (+8.8%). This growth was driven by a strong increase in the number of female implants from 2015 to 2017 (+28. Read More

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http://dx.doi.org/10.1016/j.euf.2018.12.005DOI Listing
December 2018

Efficacy and safety of artificial urinary sphincter (AUS): Results of a large multi-institutional cohort of patients with mid-term follow-up.

Neurourol Urodyn 2018 Dec 21. Epub 2018 Dec 21.

Department of Urology, University Hospitals Leuven, Leuven, Belgium.

Aims: To assess efficacy and safety as well as predictive factors of dry rate and freedom from surgical revision in patients underwent AUS placement. The artificial urinary sphincter (AUS) is still considered the standard for the treatment of moderate to severe post-prostatectomy stress urinary incontinence (SUI). However, data reporting efficacy and safety from large series are lacking. Read More

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http://doi.wiley.com/10.1002/nau.23901
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http://dx.doi.org/10.1002/nau.23901DOI Listing
December 2018
3 Reads
2.873 Impact Factor

Impact of Radiation and Transcorporeal Artificial Sphincter Placement in Patients with Prior Urethral Cuff Erosion: Results from a Retrospective Multicenter Analysis.

J Urol 2018 Dec 7;200(6):1338-1343. Epub 2018 Jul 7.

ArkLaTex Urology, Shreveport, Louisiana.

Purpose: Many providers elect to use a transcorporeal approach for artificial urinary sphincter placement in an attempt to minimize risks, given the increased risk of complications in revision cases. We present outcomes in a multicenter retrospective analysis of artificial urinary sphincter cuff reimplantation in patients with prior cuff erosion with special consideration given to the transcorporeal approach.

Materials And Methods: We compiled a multi-institutional database of patients who underwent artificial urinary sphincter reimplantation after prior urethral erosion. Read More

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http://dx.doi.org/10.1016/j.juro.2018.06.069DOI Listing
December 2018
2 Reads

Laparoscopic artificial urinary sphincter implantation in women with stress urinary incontinence: update on 13 years' experience in a single centre.

BJU Int 2018 Dec 11. Epub 2018 Dec 11.

Department of Urology, Clinique du Pré, Technopôle Université, Le Mans, France.

Objectives: To update the outcomes and analyse the safety of laparoscopic implantation of an artificial urinary sphincter (AUS) in women with stress urinary incontinence (SUI) as a result of intrinsic sphincter deficiency (ISD).

Patients And Methods: Seventy-four women with SUI caused by ISD underwent laparoscopic AUS implantation between 2005 and 2018 in our centre. Urodynamic assessment was required. Read More

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http://dx.doi.org/10.1111/bju.14653DOI Listing
December 2018
1 Read

Do the etiological factors in artificial urinary sphincter reimplantation cases affect success and complications?

Turk J Med Sci 2018 Dec 12;48(6):1263-1267. Epub 2018 Dec 12.

Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey

Background/aim: The artificial urinary sphincter (AUS) is still one of the best options for incontinence treatment. It may also have an advantage for revision or reimplantation in the management of complications. In this study we aimed to discuss the etiological factors for AUS reimplantation and effects of these etiological factors on success rates, patient satisfaction rates, time to reimplantation surgery, and complications

Materials And Methods: Data from 30 patients for whom AUS reimplantation was performed were analyzed retrospectively. Read More

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http://dx.doi.org/10.3906/sag-1805-150DOI Listing
December 2018
2 Reads

Effect of Radiation on Male Stress Urinary Incontinence and the Role of Urodynamic Assessment.

Urology 2018 Nov 30. Epub 2018 Nov 30.

Department of Urology, Division of Pelvic Medicine and Reconstructive Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA. Electronic address:

Objective: To evaluate the effect of radiation on male stress urinary incontinence (SUI) and to assess the relative value of preoperative urodynamic (UDS) testing in radiated vs nonradiated men with SUI.

Methods: A retrospective chart review of all male patients with SUI who underwent UDS testing from 2010 to 2016 was performed. The impact of UDS findings on treatment decision making was assessed. Read More

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http://dx.doi.org/10.1016/j.urology.2018.11.031DOI Listing
November 2018
12 Reads

A User's Guide for Surgery Involving the Artificial Urinary Sphincter.

Sex Med Rev 2019 01 1;7(1):167-177. Epub 2018 Dec 1.

Department of Urology, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA. Electronic address:

Introduction: The artificial urinary sphincter (AUS) has long been regarded as the gold standard for surgical correction of male stress urinary incontinence (SUI). Despite impressive rates of initial success for restoration of continence, durability may wane to the point of considering revision surgery.

Aim: To provide a review of existing data as well as personal experience regarding patient selection, surgical technique, and postoperative troubleshooting for the AUS. Read More

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http://dx.doi.org/10.1016/j.sxmr.2018.10.004DOI Listing
January 2019
2 Reads

Potential Association of Weight-Based Gentamicin with Increased Acute Kidney Injury in Urologic Prosthetic Surgery.

J Sex Med 2019 Jan 1;16(1):137-144. Epub 2018 Dec 1.

Division of Urology, Virginia Commonwealth University Medical Center, West Hospital, Richmond, VA, USA; Division of Urology, Hunter Holmes McGuire VA Medical Center, Richmond, VA, USA.

Background: Despite the known nephrotoxicity of gentamicin, in 2008 the American Urological Association recommended a weight-based gentamicin dose of 5 mg/kg for antimicrobial prophylaxis during urologic prosthetic surgery.

Aim: To identify and characterize rates of acute kidney injury (AKI) in urologic prosthetic surgery, both before and after the implementation of weight-based gentamicin dosing.

Methods: We performed a single-institution retrospective study of patients receiving perioperative gentamicin during implant, revision, salvage, or explant of inflatable penile prostheses, malleable penile prostheses, or artificial urinary sphincters between the years 2000 and 2017. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17436095183127
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http://dx.doi.org/10.1016/j.jsxm.2018.10.016DOI Listing
January 2019
11 Reads

Risk factors for subsequent urethral atrophy in patients undergoing artificial urinary sphincter placement.

Turk J Urol 2018 Nov 26:1-5. Epub 2018 Nov 26.

Department of Urology, Mayo Clinic, Rochester, MN, United States.

Objective: Artificial urinary sphincter (AUS) device failure or revision can be due to multiple etiologies including erosion, infection, mechanical malfunction, and urethral atrophy. However, few studies have evaluated factors that predispose patients to urethral atrophy. Here, we sought to identify preoperative and perioperative risk factors associated with urethral atrophy in men undergoing primary artificial urinary sphincter (AUS) placement for stress urinary incontinence. Read More

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http://dx.doi.org/10.5152/tud.2018.82781DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368031PMC
November 2018

Artificial urinary sphincter revision with Quick Connects versus suture-tie connectors: does technique make a difference?

Turk J Urol 2018 Nov 26:1-5. Epub 2018 Nov 26.

Department of Urology, Mayo Clinic, Rochester, MN, USA.

Objective: To evaluate characteristics of artificial urinary sphincter (AUS) mechanical failures and compare outcomes based on the use of either suture-tied connections or Quick-Connects (QC) for single-component revisions.

Material And Methods: A total of 46 patients underwent single-component AUS revisions following primary AUS placement from January 1983 to January 2011 at our institute. Prior to 1996 all revision cases were performed with suture-tie connections and after that time we used QC for revisions. Read More

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http://dx.doi.org/10.5152/tud.2018.33733DOI Listing
November 2018

Techniques - Robotic-assisted laparoscopic implantation of artificial urinary sphincter with concomitant hysterectomy and sacrocolpopexy.

Can Urol Assoc J 2018 Nov 20. Epub 2018 Nov 20.

University of Alberta, Edmonton, AB, Canada.

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http://dx.doi.org/10.5489/cuaj.5580DOI Listing
November 2018
10 Reads

Re: Mechanical Failure Rates of Artificial Urinary Sphincter Components: Is the 3.5-cm Urethral Cuff at Higher Risk?

Authors:
Daniel S Elliott

Eur Urol 2019 Feb 1;75(2):345-346. Epub 2018 Nov 1.

Department of Urology, Section of Pelvic and Reconstructive Surgery, Mayo Clinic, Rochester, MN, USA. Electronic address:

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http://dx.doi.org/10.1016/j.eururo.2018.10.033DOI Listing
February 2019

Performance and Safety of the Artificial Urinary Sphincter (AMS 800) for Non-neurogenic Women with Urinary Incontinence Secondary to Intrinsic Sphincter Deficiency: A Systematic Review.

Eur Urol Focus 2018 Oct 30. Epub 2018 Oct 30.

Academic Department of Urology, Pitié-Salpétrière Hospital, Assistance-Publique Hôpitaux de Paris, Pierre et Marie Curie Medical School, Sorbonne University, Paris, France.

Context: The use of the artificial urinary sphincter (AUS) for female non-neurogenic severe stress urinary incontinence (SUI) due to sphincter deficiency is either not specifically registered and/or reimbursed in some countries worldwide, as opposed to males, in whom it is considered the gold standard. With waning popularity of synthetic midurethral slings for the treatment of SUI, evidence-based assessment of AUS performance and safety is mandatory for patient counselling.

Objective: To conduct a systematic review of studies evaluating short- to long-term AUS performance and safety outcomes in non-neurogenic adult females with severe SUI. Read More

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http://dx.doi.org/10.1016/j.euf.2018.10.009DOI Listing
October 2018
1 Read

Four-year follow-up on a Zephyr Surgical Implants 375 artificial urinary sphincter for male urinary incontinence from one urological centre in Poland.

Cent European J Urol 2018 29;71(3):320-325. Epub 2018 Jun 29.

Department of Urology, Jagiellonian University, Medical College, Cracow, Poland.

Introduction: The treatment of choice for patients who have iatrogenic urinary incontinence is the implantation of an artificial urinary sphincter. We performed a prospective study on the outcomes of men undergoing artificial urinary sphincter (AUS) implantation (ZSI 375; Zephyr Surgical Implants, Geneva, Switzerland).

Material And Methods: Patients with moderate-to-severe stress incontinence urinary were included. Read More

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http://dx.doi.org/10.5173/ceju.2018.1704DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6202622PMC
June 2018
82 Reads

Surgical treatment of post-prostatectomy stress urinary incontinence in adult men: Report from the 6th International Consultation on Incontinence.

Neurourol Urodyn 2019 Jan 23;38(1):398-406. Epub 2018 Oct 23.

The Cleveland Clinic Foundation, Glickman Urological Institute, Cleveland, Ohio.

Aims: To report the recommendations of the 6th International Consultation on Incontinence (ICI) on post-prostatectomy urinary incontinence.

Methods: The 6th ICI committee on surgical treatment of urinary incontinence in men assessed and reviewed the outcomes of surgical therapy and updated the prior recommendations published in 2013. Articles from peer-reviewed journals, abstracts from scientific meetings, and literature searches by hand and electronically formed the basis of this review. Read More

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http://doi.wiley.com/10.1002/nau.23845
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http://dx.doi.org/10.1002/nau.23845DOI Listing
January 2019
14 Reads

Comparison of adjustable male slings and artificial urinary sphincter in the treatment of male urinary incontinence: a retrospective analysis of patient selection and postoperative continence status.

World J Urol 2018 Oct 19. Epub 2018 Oct 19.

Department of Urology, University Hospital Munich Grosshadern (LMU), Munich, Germany.

Purpose: To analyze and compare preoperative patient characteristics and postoperative results in men with stress urinary incontinence (SUI) selected for an adjustable male sling system or an artificial urinary sphincter (AUS) in a large, contemporary, multi-institutional patient cohort.

Methods: 658 male patients who underwent implantation between 2010 and 2012 in 13 participating institutions were included in this study (n = 176 adjustable male sling; n = 482 AUS). Preoperative patient characteristics and postoperative outcomes were analyzed. Read More

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http://dx.doi.org/10.1007/s00345-018-2523-0DOI Listing
October 2018

Artificial sphincter "BR - SL - AS 904" in the treatment of urinary incontinence after radical prostatectomy: efficacy, practicality and safety in a prospective and multicenter study.

Int Braz J Urol 2018 Nov-Dec;44(6):1215-1223

Disciplina de Urologia, Unesp - Universidade Estadual Paulista, São Paulo, SP, Brasil.

Purpose: The objective of the present study is to test the efficiency and practicality of a new artificial sphincter "BR - SL - AS - 904" in the control of urinary incontinence in post - PR patients and to evaluate their complications.

Patients And Methods: Fifteen patients with incontinence after one year of radical prostatectomy were included prospectively. All patients underwent artificial urethral sphincter (AUS) implant "BR - SL - AS - 904" according to established technique. Read More

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http://dx.doi.org/10.1590/S1677-5538.IBJU.2018.0128DOI Listing
March 2018
5 Reads

Evaluation and treatment of female stress urinary incontinence after pelvic radiotherapy.

Authors:
Amy D Dobberfuhl

Neurourol Urodyn 2018 Oct 12. Epub 2018 Oct 12.

Department of Urology, Stanford University School of Medicine, Stanford, California.

Introduction: Pelvic radiotherapy is associated with both acute and chronic voiding dysfunction. A review of the success and complications of surgical treatments for female stress urinary incontinence after pelvic radiotherapy has not been summarized in the published literature.

Methods: A systematic review of female stress urinary incontinence after pelvic radiotherapy was conducted using MeSH terminology (1988-2018). Read More

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http://doi.wiley.com/10.1002/nau.23839
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http://dx.doi.org/10.1002/nau.23839DOI Listing
October 2018
9 Reads

AMS-800 Artificial urinary sphincter in female patients with stress urinary incontinence: A systematic review.

Neurourol Urodyn 2018 Oct 9. Epub 2018 Oct 9.

Department of Urology, New York University, New York, New York.

Aims: To perform a systematic review of studies reporting the outcomes of AMS-800 artificial urinary sphincter (AUS) implantation in female patients with stress urinary incontinence (SUI) resulting from intrinsic sphincter deficiency (ISD).

Methods: A systematic literature search of the Medline and Embase databases was performed in June 2018 in accordance with the PRISMA statement. No time limit was used. Read More

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http://doi.wiley.com/10.1002/nau.23833
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http://dx.doi.org/10.1002/nau.23833DOI Listing
October 2018
3 Reads
2.873 Impact Factor

Implantation of the argus sling in a hard-to-treat patient group with urinary stress incontinence.

Scand J Urol 2018 Oct 9:1-5. Epub 2018 Oct 9.

b Department of Urology at Herlev Hospital , University of Copenhagen , Herlev , Denmark.

Introduction: Awareness of prostate cancer is growing in the Western population, and an increasing number of patients are being referred to prostate surgery. This is a significant contributor to male stress urinary incontinence (SUI). Implantation of an artificial sphincter (AUS) is considered the gold standard treatment of SUI. Read More

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http://dx.doi.org/10.1080/21681805.2018.1517823DOI Listing
October 2018

Mechanical failure rates of artificial urinary sphincter components: Is the 3.5-cm urethral cuff at higher risk?

Neurourol Urodyn 2019 Jan 24;38(1):187-192. Epub 2018 Sep 24.

USC Institute of Urology, Division of Genitourinary Reconstruction and Prosthetics, Catherine and Joseph Aresty Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, California.

Aim: We report the rates of artificial urinary sphincter (AUS) mechanical failure in a contemporary cohort of patients stratified by component type and size to determine if the 3.5-cm cuff is at higher risk of failure.

Methods: From 2005-2016, a total of 486 male patients with stress incontinence underwent implantation or revision of an AUS. Read More

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http://dx.doi.org/10.1002/nau.23825DOI Listing
January 2019
3 Reads

Artificial urinary sphincters for treating postprostatectomy incontinence: A contemporary experience from the UK.

Res Rep Urol 2018 4;10:63-68. Epub 2018 Sep 4.

Department of Urology, Queen Elizabeth Hospital Birmingham-University Hospital Birmingham, Birmingham, UK Correspondence: Hosam Serag Department of Urology, Queen Elizabeth Hospital, Edgbaston, Birmingham B15 2GW, UK,

Objectives: To report a real-time contemporary practice and outcome of artificial urinary sphincter (AUS) in patients with postradical prostatectomy urinary incontinence (PPI) in the UK.

Methods: A retrospective observational study of patients who underwent AUS implantation (AMS 800) from 2007 to 2013. Data were collected on patients' demographics, infection and erosion rate, mechanical failure, reoperation, and continence rates. Read More

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http://dx.doi.org/10.2147/RRU.S172252DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6130299PMC
September 2018
1 Read

Long-term results of ProACT primary and repeat implantation for treatment of stress urinary incontinence in men.

World J Urol 2018 Sep 17. Epub 2018 Sep 17.

Department of Urology, University of Mainz, Mainz, Germany.

Introduction: Urinary incontinence in men after radical prostatectomy affects strongly quality of life. If conservative treatment fails, surgical treatment consists of implantable devices. If the requirement of manual dexterity in the artificial sphincter is to be avoided, the ProACT system offers a readjustable system, which shows good continence, but also high revision rates. Read More

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http://dx.doi.org/10.1007/s00345-018-2483-4DOI Listing
September 2018
4 Reads

Role of androgens for urethral homeostasis.

Transl Androl Urol 2018 Aug;7(4):521-525

Department of Urology, UT Southwestern, Dallas, TX, USA.

Background: We observed that patients with hypogonadism are at higher risk to experience artificial urinary sphincter cuff erosion. Sphincter erosions have been found to be associated with urethral atrophy or compromised urethras subsequent to events limiting its blood supply. We therefore analyzed possible mechanisms how a decrease in testosterone serum levels can result decreased urethral blood flow. Read More

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http://dx.doi.org/10.21037/tau.2018.02.05DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6127533PMC

Efficacy of Pressure Regulating Balloon Exchange in Men With Post Artificial Urinary Sphincter Persistent or Recurrent Stress Urinary Incontinence.

Urology 2019 Jan 7;123:252-257. Epub 2018 Sep 7.

Center for Reconstructive Urology, University of Utah, Salt Lake City, UT.

Objective: To assess the efficacy of exchanging the pressure regulating balloon (PRB) to 71-80 cm HO in patients with persistent or recurrent stress urinary incontinence (SUI) following artificial urinary sphincter (AUS) placement.

Methods: Patients with SUI following AUS placement who underwent PRB replacement between 2011 and 2017 in the absence of urethral cuff malfunction, atrophy, stricture, or erosion were reviewed. Primary outcomes included changes in pad per day (PPD), Incontinence Symptom Index score, and Incontinence Quality of Life (I-QOL). Read More

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http://dx.doi.org/10.1016/j.urology.2018.07.052DOI Listing
January 2019
3 Reads

Outcomes and Quality of Life Among Men After Anal Sphincter-Sparing Transperineal Rectourethral Fistula Repair.

Urology 2018 Nov 4;121:175-181. Epub 2018 Sep 4.

Department of Urology, University of Washington, Seattle, WA. Electronic address:

Objective: To describe long-term quality of life (QOL) outcomes after rectourethral fistula (RUF) repair. RUF is a debilitating diagnosis and complex surgical dilemma with limited data regarding QOL after repair.

Methods: Patients at a tertiary referral center undergoing transperineal RUF repair 1/2009-5/2016 were analyzed. Read More

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http://dx.doi.org/10.1016/j.urology.2018.06.052DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6289716PMC
November 2018
2 Reads

Survival of the artificial urinary sphincter in a changing patient profile.

World J Urol 2018 Aug 28. Epub 2018 Aug 28.

Radboud University Medical Center, Nijmegen, The Netherlands.

Purpose: To examine the functional survival of the artificial urinary sphincter (AUS) AMS800 in a changing patient population. Because of increasing experience and dexterity of the operating team, we hypothesize that patients with known risk factors nowadays have a better survival of their prosthesis. However, due to a change to a more complex case mix, overall results appear to be worse. Read More

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http://dx.doi.org/10.1007/s00345-018-2448-7DOI Listing
August 2018
16 Reads

Expanding the indications of robotic surgery in urology: A systematic review of the literature.

Arab J Urol 2018 Sep 7;16(3):270-284. Epub 2018 Aug 7.

Bristol Urological Institute, Southmead Hospital, Bristol, UK.

Objectives: To evaluate the recent developments in robotic urological surgery, as the introduction of robotic technology has overcome many of the difficulties of pure laparoscopic surgery enabling surgeons to perform complex minimally invasive procedures with a shorter learning curve. Robot-assisted surgery (RAS) is now offered as the standard for various surgical procedures across multiple specialities.

Methods: A systematic search of MEDLINE, PubMed and EMBASE databases was performed to identify studies evaluating robot-assisted simple prostatectomy, salvage radical prostatectomy, surgery for urolithiasis, distal ureteric reconstruction, retroperitoneal lymph node dissection, augmentation ileocystoplasty, and artificial urinary sphincter insertion. Read More

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http://dx.doi.org/10.1016/j.aju.2018.05.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6105341PMC
September 2018
4 Reads

Robot-assisted AMS-800 Artificial Urinary Sphincter Bladder Neck Implantation in Female Patients with Stress Urinary Incontinence.

Eur Urol 2019 Jan 20;75(1):169-175. Epub 2018 Aug 20.

Department of Urology, University of Brest, Brest, France.

Background: Widespread adoption of the AMS-800 artificial urinary sphincter (AUS) in female patients has been hampered by the surgical morbidity of its implantation through an open approach.

Objective: To describe a standardized technique of robotic bladder neck AUS implantation in female patients, and to report the perioperative and functional outcomes obtained by multiple surgeons with this technique.

Design, Settings, And Participants: We retrospectively reviewed the charts of all female patients who underwent robotic AUS implantation for urinary incontinence due to intrinsic sphincter deficiency between March 2012 and March 2017 in five institutions. Read More

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http://dx.doi.org/10.1016/j.eururo.2018.07.036DOI Listing
January 2019
4 Reads

[Therapeutic options for stress urinary incontinence following surgery for benign prostate enlargement].

Aktuelle Urol 2018 Aug 7;49(4):334-338. Epub 2018 Aug 7.

Urologische Klinik und Poliklinik, Klinikum der Universität München.

Persistent stress urinary incontinence following surgical treatment of bladder outlet obstruction based on benign prostate enlargement (BPE) occurs at an incidence of approximately 2.2 %, although incidence rates vary significantly between different surgical options. Current evidence on SUI treatment of BPE patients is usually based on postprostatectomy incontinence patient cohorts or small subgroup analyses of greater patient collectives. Read More

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http://dx.doi.org/10.1055/a-0642-1701DOI Listing
August 2018
1 Read

Artificial Sphincters to Manage Urinary Incontinence: A Review.

Artif Organs 2018 Sep 3;42(9):E215-E233. Epub 2018 Aug 3.

The BioRobotics Institute, Scuola Superiore Sant'Anna, Viale R. Piaggio, Pontedera, Pisa, Italy.

Urinary incontinence affects more than 300 million people worldwide. The implantation of a medical device called an artificial urinary sphincter (AUS) is the gold standard treatment when conservative and minimally invasive therapies fail. In this article, the AUSs (extra-urethral and endo-urethral sphincters) available on the market, both presented at the research level and filed as patents, are reviewed. Read More

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http://dx.doi.org/10.1111/aor.13164DOI Listing
September 2018
25 Reads

A new approach to laparoscopic implantation of the artificial urinary sphincter: Vesicovaginal approach to the bladder neck.

Actas Urol Esp 2019 Jan - Feb;43(1):44-50. Epub 2018 Jul 29.

Hospital Universitario Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, España.

Introduction: The artificial urinary sphincter (AUS) is not used extensively in the treatment of female urinary stress incontinence (USI) due to the poor reproducibility of the techniques used. We describe a new approach to laparascopic implantation, of which dissection of the vesicovaginal space is an essential step. This enables an approach under direct vision to the posterior surface of the bladder neck. Read More

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http://dx.doi.org/10.1016/j.acuro.2018.04.001DOI Listing
July 2018
5 Reads

A Contemporary Analysis of Dual Inflatable Penile Prosthesis and Artificial Urinary Sphincter Outcomes.

J Urol 2019 Jan;201(1):141-146

Department of Urology, Weill Cornell Medicine, New York, New York.

Purpose: Inflatable penile prostheses and artificial urinary sphincters are used to treat men with erectile dysfunction and stress urinary incontinence, respectively. After prostate cancer treatment men often experience erectile dysfunction and stress urinary incontinence. Dual prosthetic implantation can improve the quality of life of these men. Read More

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http://dx.doi.org/10.1016/j.juro.2018.07.046DOI Listing
January 2019
10 Reads

Long-Term Outcome of Female Dogs Treated with Static Hydraulic Urethral Sphincter for Urethral Sphincter Mechanism Incompetence.

J Am Anim Hosp Assoc 2018 Sep/Oct;54(5):276-284. Epub 2018 Jul 24.

From the School of Veterinary Sciences, University of Bristol, Langford, Bristol, United Kingdom.

The purpose of the study was to report the postoperative outcome, complications, and long-term follow-up of the use of a static hydraulic urethral sphincter for the management of urethral sphincter mechanism incompetence in female dogs. Medical records were reviewed to extract information on long-term (>365 days) outcome data. Telephone owner questionnaire was performed to assess postoperative urinary continence scores (scale 1-10, where 10 is complete continence) and the presence and frequency of complications. Read More

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http://dx.doi.org/10.5326/JAAHA-MS-6709DOI Listing
November 2018
2 Reads

VICTO and VICTO-plus - novel alternative for the mangement of postprostatectomy incontinence. Early perioperative and postoperative experience.

Cent European J Urol 2018 19;71(2):248-249. Epub 2018 Apr 19.

Landesklinikum Korneuburg - Teaching Hospital, Department of Urology, Korneuburg, Austria.

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http://dx.doi.org/10.5173/ceju.2018.1655DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6051358PMC
April 2018
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The Urological Society of India survey on urinary incontinence practice patterns among urologists.

Indian J Urol 2018 Jul-Sep;34(3):202-210

Department of Urology, Sir Ganga Ram Hospital, New Delhi, India.

Introduction: The Urological Society of India guidelines panel on urinary incontinence (UI) conducted a survey among its members to determine their practice patterns in the management of UI. The results of this survey are reported in this manuscript.

Methods: An anonymous online survey was carried out among members of the USI to determine their practice patterns regarding UI using a predeveloped questionnaire on using SurveyMonkey. Read More

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http://dx.doi.org/10.4103/iju.IJU_85_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6034410PMC
July 2018
3 Reads

Erosion rates of 3.5-cm artificial urinary sphincter cuffs are similar to larger cuffs.

BJU Int 2019 Feb 9;123(2):335-341. Epub 2018 Aug 9.

Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX, USA.

Objective: To compare long-term outcomes and erosion rates of 3.5-cm artificial urinary sphincter (AUS) cuffs vs larger cuffs amongst men with stress urinary incontinence (SUI), with and without a history of pelvic radiotherapy (RT).

Patients And Methods: We reviewed the records of all men who underwent AUS placement by a single surgeon between September 2009 and June 2017 at our tertiary urban medical centre. Read More

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http://dx.doi.org/10.1111/bju.14483DOI Listing
February 2019
2 Reads

External erosion. Artificial urinary sphincter complication.

Arch Esp Urol 2018 Jul;71(6):559

Hospital Clínico Universitario Lozano Blesa. Zaragoza. España.

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July 2018
4 Reads

Proof of concept: Exposing the myth of urethral atrophy after artificial urinary sphincter via assessment of circumferential recovery after capsulotomy and intraoperative pressure profiling of the pressure regulating balloon.

Investig Clin Urol 2018 Jul 15;59(4):275-279. Epub 2018 Jun 15.

Department of Urology, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.

Purpose: Rate of continence after artificial urinary sphincter (AUS) placement appears to decline with time. After appropriate workup to exclude inadvertent device deactivation, development of urge or overflow incontinence, and fluid loss, many assume recurrent stress urinary incontinence (rSUI) to be secondary to nonmechanical failure, asserting urethral atrophy as the etiology. We aimed to characterize the extent of circumferential urethral recovery following capsulotomy and that of pressure regulating balloon (PRB) material fatigue in men undergoing AUS revision for rSUI. Read More

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http://dx.doi.org/10.4111/icu.2018.59.4.275DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6028470PMC
July 2018
12 Reads