1,649 results match your criteria Artificial Urinary Sphincter


Outcomes of pregnancy and delivery in women with continent lower urinary tract reconstruction: systematic review of the literature.

Int Urogynecol J 2021 Jun 14. Epub 2021 Jun 14.

Department of Urology, CHU-Université de Nantes, 1 place Alexis Ricordeau, 44000, Nantes, France.

Introduction And Hypothesis: The aim of this systematic review of the literature was to pool all the existing data regarding pregnancy and delivery in women with neurogenic bladder or bladder exstrophy who had undergone previous lower urinary tract reconstruction (LUTR).

Methods: We conducted a systematic review of the literature from PubMed/MedLine, ClinicalTrials.gov and the Google Scholar database, from 1972 to July 2020. Read More

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Ten-year treatment complication outcomes of radical prostatectomy vs external beam radiation vs brachytherapy for 1503 patients with intermediate risk prostate cancer.

Brachytherapy 2021 Jun 2. Epub 2021 Jun 2.

Department of Research and Evaluation, Kaiser Permanente, Pasadena, CA.

Purpose: To compare 10-year late complications of radical prostatectomy (RP) versus external-beam-radiation-therapy (EBRT) versus brachytherapy (BT).

Methods: Retrospective analysis was performed on 1503 intermediate-risk-prostate-cancer patients treated from 2004 to 2007, using univariate comparisons. Eight hundred and nineteen underwent RP, 574 EBRT, and 110 BT. Read More

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The use of ileocecal pouch with appendix as an urethral substitute in patients who are willing to have a orthotopic bladder replacement - point of technique.

Actas Urol Esp (Engl Ed) 2021 Jun 14;45(5):406-411. Epub 2021 May 14.

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

Introduction: The authors describe the technique of orthotopic bladder replacement with an ileocecal pouch and unaltered appendix used as an orthotopic urethral substitute. Additional procedures with regard to the bothersome voiding symptoms will be described.

Material And Methods: In a small cohort of 5 patients with muscle invasive bladder cancer with tumor involvement of the bladder neck or proximal urethra (2 males/3 females) we performed the following reconstruction. Read More

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Evaluation of the 24-h pad weight test as continence rate assessment tool after artificial urinary sphincter implantation for postprostatectomy urinary incontinence: A Swedish retrospective cohort study.

Neurourol Urodyn 2021 Jun 3. Epub 2021 Jun 3.

Section of Urology, Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.

Aim: Patient-reported pad-count as continence rate assessment tool after artificial urinary sphincter (AUS) implantation is common. However, lack of standardized continence definition using this method results in heterogeneous published efficacy outcomes. Data on 24-h pad weight tests (PWT) after primary AUS implantation for postprostatectomy urinary incontinence (PPUI) is scarce. Read More

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[The "right" patient for implant surgery in urology : Why patient selection, informed consent, and communication are so important for patient satisfaction].

Urologe A 2021 Jun 1;60(6):732-739. Epub 2021 Jun 1.

Klinik für Urologie Department Chirurgie, Universitätsklinikum Freiburg, Hugstetter Str. 55, 79106, Freiburg im Breisgau, Deutschland.

In implant surgery for erectile dysfunction and urinary incontinence, adequate patient selection is essential for postoperative therapy success. Several scientific studies report patient satisfaction rates for penile implants and artificial urinary sphincter implantation of over 90%. Nevertheless, studies also report, that between 5 and 30% of the patients are not satisfied with the result of their operation. Read More

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New technique of robot-assisted laparoscopic artificial urinary sphincter implantation in female by a posterior approach with intraoperative cystoscopic monitoring.

World J Urol 2021 May 29. Epub 2021 May 29.

Department of Urology, Hôtel Dieu, Nantes University Hospital, 1 Place Alexis Ricordeau, Nantes CEDEX 03, 44093, Nantes, France.

Purpose: To report the early experience of a modified technique of robot-assisted artificial urinary sphincter (AUS) implantation in female, with a posterior approach to the bladder neck and intraoperative real-time cystoscopic monitoring.

Methods: Retrospective monocentric study included all consecutive female who underwent a primary robot-assisted AUS implantation between 2017 and 2019. Real-time intraoperative cystoscopic monitoring was carried out to check the correct level of the dissection and to avoid any injury during bladder neck dissection. Read More

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Artificial intelligence in functional urology: how it may shape the future.

Curr Opin Urol 2021 Jul;31(4):385-390

Department of Urology, University of Rennes, Rennes, France.

Purpose Of Review: The aim of the present manuscript is to provide an overview on the current state of artificial intelligence (AI) tools in either decision making, diagnosis, treatment options, or outcome prediction in functional urology.

Recent Findings: Several recent studies have shed light on the promising potential of AI in functional urology to investigate lower urinary tract dysfunction pathophysiology but also as a diagnostic tool by enhancing the existing evaluations such as dynamic magnetic resonance imaging or urodynamics. AI may also improve surgical education and training because of its automated performance metrics recording. Read More

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[Alloplastic material in the treatment of urinary incontinence].

Urologe A 2021 Jun 3;60(6):706-713. Epub 2021 May 3.

Klinik und Poliklinik für Urologie, LMU Klinikum, Campus Großhadern, München, Deutschland.

Surgery for urinary incontinence is indicated after failure of conservative treatment with pelvic floor therapy. Different sling systems are the established treatment option for urinary incontinence for female and male patients. Tension-free vaginal tapes represent the standard of care in the surgical treatment of female stress urinary incontinence. Read More

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Long-term functional outcomes of artificial urinary sphincter (AMS 800™) implantation in women aged over 75 years and suffering from stress urinary incontinence caused by intrinsic sphincter deficiency.

World J Urol 2021 May 3. Epub 2021 May 3.

Department of Urology, AP-HP Sorbonne Université, La Pitié-Salpêtrière Academic Hospital, 47-83 boulevard de l'hôpital, 75651, Paris, France.

Purpose: To assess the outcomes after artificial urinary sphincter (AUS) implantation in older women aged over 75 years.

Methods: A monocentric retrospective study included all non-neurological women aged over 75 years suffering from stress urinary incontinence (SUI) due to intrinsic sphincter deficiency and undergoing an AUS placement between 1991 and 2015. Early postoperative complications were reported according to Clavien-Dindo classification. Read More

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Real-life outcomes after artificial urinary sphincter explantation in women suffering from severe stress incontinence.

World J Urol 2021 Apr 9. Epub 2021 Apr 9.

Department of Urology, Nouvel Hôpital Civil, Hôpitaux Universitaire de Strasbourg, 1 place de l'Hôpital, 67000, Strasbourg, France.

Purpose: Artificial urinary sphincter (AUS) implantation in female patients results in high satisfaction rates and high functional outcomes, but implantation can be challenging and explantation of the device is fairly common. The objective of this study was to review outcomes after AUS explantation in women.

Methods: This is a retrospective, monocentric study of all women who underwent open or laparoscopic AUS implantation between November 1994 and July 2019, and patients with AUS explantation were included. Read More

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Clinical Outcomes of a Combined Robotic, Transabdominal, and Open Transperineal Approach for Anastomotic Posterior Urethroplasty.

J Endourol 2021 May 19. Epub 2021 May 19.

Department of Urology, New York University Langone Health, New York, New York, USA.

Robotic pelvic surgery is being increasingly utilized for reconstruction proximal to the genitourinary diaphragm. We describe a combined robotic, transabdominal, and open transperineal approach for complex anastomotic posterior urethroplasty. We performed a multi-institutional retrospective study of patients who underwent anastomotic posterior urethroplasty by a combined robotic, transabdominal, and open transperineal approach between January 2012 and December 2018. Read More

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Use of isotonic contrast solution in the artificial urinary sphincter does not impact device longevity.

Neurourol Urodyn 2021 Apr 3;40(4):1056-1062. Epub 2021 Apr 3.

Division of Urologic Surgery, Duke University Medical Center, Durham, North Carolina, USA.

Aims: The artificial urinary sphincter (AUS), the gold standard for treatment of male stress urinary incontinence, can be filled with normal saline (NS) or isotonic contrast solution. Surgeons have voiced concerns about the impact on device malfunction and longevity, but no studies address this issue. We used industry data to identify differences in outcomes between NS and contrast-filled AUS. Read More

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Most men with artificial urinary sphincter cuff erosion have low serum testosterone levels.

Neurourol Urodyn 2021 Apr 1;40(4):1035-1041. Epub 2021 Apr 1.

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

Aims: To evaluate the relationship between serum testosterone (T) levels and artificial urinary sphincter (AUS) cuff erosion in a population of incontinent men who underwent AUS placement.

Methods: A retrospective analysis of our single-surgeon AUS database was performed to identify men with T levels within 24 months of AUS placement. Men were stratified into two groups based on serum testosterone: low serum testosterone (LT) (<280 ng/dl) and normal serum testosterone (NT) (>280 ng/dl). Read More

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Artificial Urinary Sphincter Complications: Risk Factors, Workup, and Clinical Approach.

Curr Urol Rep 2021 Mar 29;22(5):30. Epub 2021 Mar 29.

Department of Urology, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390-9110, USA.

Purpose Of Review: To review risk factors for AUS complications and present a systematic approach to their diagnosis and management.

Recent Findings: Established risk factors for AUS complications include catheterization, channel TURP, pelvic radiation, urethroplasty, anticoagulation, cardiovascular disease, diabetes mellitus, frailty index, hypertension, low albumin, and low testosterone. We present our algorithm for diagnosis and management of AUS complications. Read More

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Artificial urinary sphincter implantation in non-neurogenic men: a place for out-patient surgery.

World J Urol 2021 Mar 27. Epub 2021 Mar 27.

Department of Urology, CHU Lille, Claude Huriez Hospital, Univ. Lille, 59000, Lille, France.

Objective: To assess feasibility, safety and risk factors for failure associated with out-patient surgery for artificial urinary sphincter (AUS) implantation/revision in non-neurogenic men.

Materials: In the present retrospective monocentric study conducted between May 2016 and March 2020, 81 patients undergoing AUS implantation or revision during an out-patient surgery were included. The primary outcome was the success rate of out-patient surgery. Read More

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Artificial urinary sphincter or a second adjustable transobturator male system offer equivalent outcomes in patients whom required revision on the initial ATOMS device: An international multi-institutional experience.

Neurourol Urodyn 2021 03 1;40(3):897-909. Epub 2021 Mar 1.

Department of Urology, Centro Hospitalar São João, Oporto, Portugal.

Aim: To evaluate treatment options after surgical revision of adjustable transobturator male system (ATOMS) and the results of further incontinence implantation.

Materials And Methods: A retrospective multicenter study evaluating patients with surgical revision of ATOMS in academic institutions. Causes and factors affecting revision-free interval were studied and also the frequency of device explant and placement of second ATOMS or artificial urinary sphincter (AUS) at surgeon discretion. Read More

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The use of ileocecal pouch with appendix as an urethral substitute in patients who are willing to have a orthotopic bladder replacement - point of technique.

Actas Urol Esp 2021 06 21;45(5):406-411. Epub 2021 Feb 21.

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

Introduction: The authors describe the technique of orthotopic bladder replacement with an ileocecal pouch and unaltered appendix used as an orthotopic urethral substitute. Additional procedures with regard to the bothersome voiding symptoms will be described.

Material And Methods: In a small cohort of 5 patients with muscle invasive bladder cancer with tumor involvement of the bladder neck or proximal urethra (2 males/3 females) we performed the following reconstruction. Read More

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A Novel Artificial Urinary Sphincter (VICTO®) for the Management of Postprostatectomy Urinary Incontinence: Description of the Surgical Technique and Preliminary Results from a Multicenter Series.

Urol Int 2021 19;105(5-6):414-420. Epub 2021 Feb 19.

Department of Neuro-Urology, CTO-Spinal Cord Unit, AOU Città della Salute e della Scienza di Torino, Turin, Italy.

Aims: The objective of the study was to analyze short-term outcomes and safety profile of the newly designed artificial urinary sphincters (AUSs) VICTO® and VICTOplus®.

Methods: Data from the implant of VICTO® or VICTOplus® AUSs on a series of consecutive male patients with stress urinary incontinence (SUI) following radical prostatectomy (RP) were retrospectively collected in 3 tertiary referral centers between May 2017 and December 2019. Patients were affected by moderate-severe genuine SUI (200-400 or >400 g urine leakage in 24-h pad test) refractory to conservative treatment. Read More

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February 2021

Advance Xp® Male Sling can be an Effective and Safe Treatment for Post-Prostatectomy Stress Urinary Incontinence Also in Patients with Prior History of External Beam Radiation Therapy: A Multicentric Experience.

Surg Innov 2021 Feb 18:1553350621995042. Epub 2021 Feb 18.

Chirurgia Urologica Robotica Mininvasiva e dei Trapianti Renali, Azienda Ospedaliero-Universitaria Careggi, Università di Firenze, Italy.

Post-prostatectomy stress urinary incontinence (PPSUI) is one of the major complaints after radical prostatectomy. Transoburator male sling (TMS) placement is indicated in persistent mild to moderate PPSUI. External beam radiation therapy (EBRT) might be a negative prognostic factor for TMS outcomes. Read More

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February 2021

Multi-institutional Outcomes and Associations After Excision and Primary Anastomosis for Radiotherapy-associated Bulbomembranous Urethral Stenoses Following Prostate Cancer Treatment.

Urology 2021 Jun 6;152:117-122. Epub 2021 Feb 6.

Division of Urology, University of Alberta, Edmonton, AB, Canada. Electronic address:

Objective: To evaluate the outcomes of excision and primary anastomosis (EPA) for radiation-associated bulbomembranous stenoses using a multi-institutional analysis. The treatment of radiation-associated urethral stenosis is typically complex owing to the adverse impact of radiation on adjacent tissue.

Methods: An IRB-approved multi-institutional retrospective review was performed on patients who underwent EPA for bulbomembranous urethral stenosis following prostate radiotherapy. Read More

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Outcomes of a Noninferiority Randomised Controlled Trial of Surgery for Men with Urodynamic Stress Incontinence After Prostate Surgery (MASTER).

Eur Urol 2021 Jun 4;79(6):812-823. Epub 2021 Feb 4.

Health Services Research Unit (HSRU), University of Aberdeen, Aberdeen, UK.

Background: Stress urinary incontinence (SUI) is common after radical prostatectomy and likely to persist despite conservative treatment. The sling is an emerging operation for persistent SUI, but randomised controlled trial (RCT) comparison with the established artificial urinary sphincter (AUS) is lacking.

Objective: To compare the outcomes of surgery in men with bothersome urodynamic SUI after prostate surgery. Read More

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The AdVance™ male sling: does it stand the test of time?

Scand J Urol 2021 Apr 1;55(2):155-160. Epub 2021 Feb 1.

Department of Urology, Queen Elizabeth Hospital, Birmingham, UK.

Introduction: There is minimal data published on the longevity of the transobturator retrobulbar male sling (AdVance™). We aimed to determine the efficacy, the complication rate and need for salvage SUI surgery in the medium to long term for male sling insertion.

Materials And Methods: We performed a retrospective review of all patients undergoing male sling insertion at a single centre between 2009 and 2018. Read More

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What Is Fecal Incontinence That Urologists Need to Know?

Int Neurourol J 2021 Mar 19;25(1):23-33. Epub 2021 Jan 19.

Department of Urology, Konyang University College of Medicine, Daejeon, Korea.

Fecal incontinence (FI) undoubtedly reduces quality of life and adversely affects the social life of the affected individual. FI has a higher prevalence with age and has an equivalent prevalence to urinary incontinence in patients with genitourinary disease, but is often not confirmed in these cases. A thorough investigation is needed to diagnose FI, with the common etiology of this condition in mind, and several questionnaires can be used to identify symptoms. Read More

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[Urethro-vesical anastomosis reconstruction using extra-peritoneal robot-assisted laparoscopy for anastomotic stenosis after radical prostatectomy].

Prog Urol 2021 Jan 16. Epub 2021 Jan 16.

Département d'urologie, hôpital Henri-Mondor, Créteil, France.

Introduction: Urethro-vesical anastomosis stenosis following radical prostatectomy is a rare complication but represents a challenging situation. While the first-line treatment is endoscopic, recurrences after urethrotomies require a radical approach. We present the updated results of our patient's cohort treated by pure robotic anastomosis refection. Read More

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January 2021

Continence and Complication Rates of Artificial Urinary Sphincter Devices (AMS 800) for Parkinson and Stroke Patients with Incontinence after Prostate Surgery: Retrospective Analysis of a Prospective Database.

Urol Int 2021 13;105(3-4):225-231. Epub 2021 Jan 13.

Department of Urology, University Hospital Hamburg-Eppendorf, Hamburg, Germany.

Objectives: The artificial urinary sphincter (AUS) is the gold standard treatment for severe stress urinary incontinence (SUI). According to the literature, patients suffering from Parkinson's disease (PD) or stroke (ST) show adverse continence outcomes after prostate surgery and, therefore, constitute a challenging cohort for continence surgery. However, little is known with respect to the results of AUS surgery in these patients. Read More

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January 2021

Re: The Patient Beyond the Sphincter-Cognitive and Functional Considerations Affecting the Natural History of Artificial Urinary Sphincters.

Authors:
Daniel S Elliott

Eur Urol 2021 May 2;79(5):703-704. Epub 2021 Jan 2.

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

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Outcomes of laparoscopic artificial urinary sphincter in women with stress urinary incontinence: mid-term evaluation.

World J Urol 2021 Jan 2. Epub 2021 Jan 2.

Department of Urology, Nouvel Hôpital Civil, Hôpitaux Universitaire de Strasbourg 1 Place de L'Hôpital, 67000, Strasbourg, France.

Purpose: Although artificial urinary sphincter (AUS) has become an established treatment for moderate to severe stress urinary incontinence (SUI), implantation can be challenging. This study aimed to review the outcomes of laparoscopic AUS (LAUS) implantation and revision in women presenting with SUI.

Methods: We reviewed the files of female patients presenting with moderate to severe SUI treated with LAUS implantation from October 2007 to July 2017. Read More

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January 2021

[Survival analysis of adjustable continence therapy device (ACT®/proACT®): a new message for patients].

Prog Urol 2021 Mar 16;31(4):215-222. Epub 2020 Dec 16.

Département d'urologie, transplantation rénale et andrologie, CHU de Rangueil, université Paul-Sabatier Toulouse III, TSA50032, 31059 Toulouse, France.

Introduction: The main purpose was to assess the failure free survival of adjustable continence therapy ACT®/proACT® after continence was obtained and to seek factors influencing it.

Material And Methods: Retrospective, single-center survival study of peri-urethral balloons implanted between 2007 and 2014. Efficacy was defined by the wearing of 0 or 1 safety pad per day. Read More

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Do antibiotics cause AUS infections?

Authors:
Jack M Zuckerman

Can J Urol 2020 12;27(6):10443

Department of Urology, Naval Medical Center Portsmouth, Portsmouth, Virginia, USA.

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December 2020

Are postoperative antibiotics necessary after artificial urinary sphincter insertion?

Can J Urol 2020 12;27(6):10437-10442

Department of Urology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.

INTRODUCTION We sought to explore whether patients discharged without antibiotics after artificial urinary sphincter (AUS) insertion were more likely to require device explantation for infection or erosion compared to patients discharged with antibiotics at our institution and compared to patients in other large, contemporary series.

Materials And Methods: AUS insertions performed at our institution between 2013 and 2017 were retrospectively reviewed to determine demographics, comorbidities, and perioperative and medium-term outcomes. Patients were grouped based on 1) known risk factors for infectious complications or erosion and 2) postoperative antibiotic prescription status. Read More

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December 2020