1,574 results match your criteria Artificial Urinary Sphincter


Transurethral resection of bladder tumor through artificial urinary sphincter.

Int Braz J Urol 2020 Sep-Oct;46(5):867

University of South Florida-Urology, Tampa General Circle, Tampa, Florida, United States.

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http://dx.doi.org/10.1590/S1677-5538.IBJU.2018.0839DOI Listing
January 2019

Treatment of Urinary Incontinence in Patients With Erectile Dysfunction.

Sex Med Rev 2020 Jul 1. Epub 2020 Jul 1.

Professor, Department of Urology, University of Texas, MD Anderson Cancer Center, Houston, TX, USA.

Introduction: Concurrent urinary incontinence (UI) and erectile dysfunction (ED) can greatly damage a patient's quality of life. Owing to the intertwined anatomy, treatment options for one most certainly have implications on the other.

Objective: The aim of this review is to characterize and elucidate the treatment patients with postprostatectomy UI undergoing concurrent or subsequent treatment of ED. Read More

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http://dx.doi.org/10.1016/j.sxmr.2020.04.006DOI Listing

Pregnancy and Delivery in Women with Lower Urinary Tract Reconstruction: A National Multicenter Retrospective Study.

J Urol 2020 Jul 2:101097JU0000000000001233. Epub 2020 Jul 2.

Department of Urology, Hôtel-Dieu Hospital, University of Nantes, Nantes, France.

Purpose: Management of pregnancy and delivery in women with lower urinary tract reconstruction is challenging and the currently available literature is insufficient to guide clinical practice. The purpose of this study was to report pregnancy and delivery outcomes in this specific population.

Materials And Methods: A national multicenter retrospective study (16 centers) including 68 women with 96 deliveries between 1998 and 2019 was conducted. Read More

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http://dx.doi.org/10.1097/JU.0000000000001233DOI Listing

Use of Duloxetine for Postprostatectomy Stress Urinary Incontinence: A Systematic Review.

Eur Urol Focus 2020 Jun 27. Epub 2020 Jun 27.

Department of Urology, Guy's and St Thomas' NHS Foundation Trust, London, UK. Electronic address:

Context: The recommended treatment of postprostatectomy stress urinary incontinence (PPSUI) after failure of pelvic floor muscle training is primarily surgical intervention with a male sling or artificial urinary sphincter. The use of pharmacological therapy in this setting is unlicensed and controversial.

Objective: To systematically review the available evidence regarding the efficacy and safety of duloxetine for the treatment of stress urinary incontinence following prostate surgery (radical or endoscopic). Read More

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http://dx.doi.org/10.1016/j.euf.2020.06.007DOI Listing

Use of EPIC 26 to identify men likely to benefit from surgical interventions for urinary incontinence after radical prostatectomy.

World J Urol 2020 Jun 27. Epub 2020 Jun 27.

Urology Division, Hartford Healthcare Medical Group, Hartford Hospital, 85 Seymour Street, Suite 416, Hartford, CT, 06106, USA.

Purpose: To examine outcomes of surgical procedures for urinary incontinence after radical prostatectomy (post-RP UI) and to identify patients who may benefit from a surgical intervention to treat post-RP UI.

Methods: A retrospective chart review identified men who underwent radical prostatectomy (RP) from July 2004 through July 2016 at our institution. Cases underwent surgical interventions for UI following RP. Read More

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http://dx.doi.org/10.1007/s00345-020-03325-6DOI Listing

Improved artificial urinary sphincter outcomes using a transcorporal cuff placement in patients with a "fragile urethra".

Can Urol Assoc J 2020 06 16. Epub 2020 Jun 16.

Division of Urology, Department of Surgery, University of Alberta, Edmonton, AB, Canada.

Introduction: The artificial urinary sphincter (AUS) is the most effective treatment option for incontinence after prostate cancer treatment. However, patients with a "fragile urethra" (defined as prior radiotherapy, previous failed AUS, or previous urethroplasty) are at increased risk of AUS failure. The aim of this study was to evaluate outcomes using standard and transcorporal cuff placement in this group of patients. Read More

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http://dx.doi.org/10.5489/cuaj.6431DOI Listing

Robot-assisted laparoscopic artificial urinary sphincter insertion in women with stress urinary incontinence: a pilot single-center study.

BJU Int 2020 Jun 19. Epub 2020 Jun 19.

Sorbonne Université, Department of Urology, Pitié-Salpêtrière Academic Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.

Objective: To report the functional outcomes of robot-assisted laparoscopic artificial urinary sphincter (AUS, AMS 800 ) implantation and revision in women with stress urinary incontinence.

Materials And Methods: A pilot prospective monocentric study included all consecutive female patients suffering from stress urinary incontinence and undergoing an AUS surgery (implantation or revision) using a robotic approach between 2012 and 2018. The AUS was implanted through a transperitoneal robotic approach. Read More

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http://dx.doi.org/10.1111/bju.15147DOI Listing

Secondary Sling Implantation after Failure of Primary Surgical Treatment for Male Stress Urinary Incontinence: A Retrospective Study.

Urol Int 2020 Jun 15:1-6. Epub 2020 Jun 15.

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

Objective: The artificial urinary sphincter (AUS) is the surgical gold standard after previously failed surgical treatment for male urinary stress incontinence. The evidence for a male sling as salvage treatment is poor, but there is a proportion of patients that refuse implantation of an AUS or have a relative contraindication. The goal of our retrospective study was an analysis of outcome and complications of patients with a secondary sling after previously failed surgery for stress urinary incontinence (SUI). Read More

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http://dx.doi.org/10.1159/000508585DOI Listing

Voiding conditions, renal and bowel function in a cohort of adults with spina bifida.

Neurourol Urodyn 2020 Jun 12. Epub 2020 Jun 12.

Rehab Station Stockholm, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.

Aim: To map voiding patterns, degree of continence, use of drugs for voiding disorders, kidney function and surgical interventions but also the bowel function in a near-total regional cohort of adults with spina bifida aged more than or equal to 18 years.

Methods: All individuals more than or equal to 18 years of age with spina bifida registered at a regional outpatient clinic (n = 219) were invited to participate, of which 196 persons were included. Bladder and bowel function were assessed according to questions used by the Nordic Spinal Cord Injury Registry by structured interviews and questionnaires in combination with review of patient charts including kidney function. Read More

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http://dx.doi.org/10.1002/nau.24422DOI Listing

Long-term outcome of adjustable transobturator male system for stress urinary incontinence in the Iberian multicentre study.

Neurourol Urodyn 2020 Jun 4. Epub 2020 Jun 4.

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

Aim: The aim of this study is to evaluate long-term durability and effectiveness of the adjustable transobturator male system (ATOMS).

Materials And Methods: The retrospective multicenter Iberian ATOMS study (n = 215) was updated to evaluate long-term continence status, complications, explants, and secondary treatments. Mean follow-up from surgery to March 2020 was 60. Read More

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http://dx.doi.org/10.1002/nau.24410DOI Listing

Salvage perineal-retropubic AUS cuff in paraplegic patient with exstrophy-epispadias complex after previous cuff erosion at bladder neck.

Urol Case Rep 2020 Nov 25;33:101280. Epub 2020 May 25.

Medical University Innsbruck, Department of Urology, 35 Anich Street, 6020, Innsbruck, Austria.

Cuff erosion at the bladder neck of an implanted artificial urinary sphincter (AUS) needs complete explantation of the device. The subsequent scar tissues predispose to repeated cuff erosion, when another AUS is implanted with the cuff at a similar location. We describe a paraplegic patient with exstrophy-epispadias complex that suffered from an AUS cuff erosion at the bladder neck. Read More

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http://dx.doi.org/10.1016/j.eucr.2020.101280DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7260672PMC
November 2020

Female urethral avulsion and bladder neck closure: What now? Trigonal tubularization with placement of an artificial urinary sphincter.

Urol Case Rep 2020 Nov 25;33:101279. Epub 2020 May 25.

Medical University Innsbruck, Department of Urology, 35 Anich Street, 6020, Innsbruck, Austria.

Bladder neck closure after severe polytrauma with an absent urethra poses a huge challenge for a young woman wanting to urinate normally. Considerations are reconstruction of a neourethra and operative means to gain continence. We describe a case of trigonal tubularization to function as a neourethra, together with the implantation of an artificial urinary sphincter. Read More

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http://dx.doi.org/10.1016/j.eucr.2020.101279DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7260669PMC
November 2020

Twenty years later: is the scrotal one-incision AUS of value?

Int J Impot Res 2020 Jun 2. Epub 2020 Jun 2.

Department of Urology, University of Alabama, Birmingham, AL, USA.

The artificial urinary sphincter, known as AMS 800, has been the gold standard for treating moderate to severe stress urinary incontinence in males for 40 years. Yet, the number of sphincters done globally is quite small and the majority of urologists doing them are infrequent implanters. Estimates for 2019 showed half of implanters did only one implant that year and worldwide only around 13,000 implantations were performed. Read More

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http://dx.doi.org/10.1038/s41443-020-0317-6DOI Listing

Underactive Bladder and Bladder Outlet Procedures in Women.

Curr Bladder Dysfunct Rep 2020 Mar 30;15(1):21-24. Epub 2020 Jan 30.

University of Pittsburgh Medical Center, Department of Urology, Pittsburgh, PA.

Purpose Of Review: This review outlines current options for women suffering from both stress urinary incontinence (SUI) and underactive bladder (UAB). This is often a challenging patient population; however, many treatment options are available including behavioral, pharmacologic, and surgical. Therapies can be divided into those specifically targeting either the bladder or the bladder outlet. Read More

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http://dx.doi.org/10.1007/s11884-019-00572-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7255415PMC

Artificial Urinary Sphincter Cuff Erosion "Heat Map" Shows Similar Anatomic Characteristics for Transcorporal and Standard Approach.

J Urol 2020 May 27:101097JU0000000000001148. Epub 2020 May 27.

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

Purpose: To describe and compare artificial urinary sphincter (AUS) cuff erosion sites and their associated clinical implications.

Materials And Methods: We retrospectively reviewed men who presented with AUS erosion treated by a single surgeon between 2007 and 2019 at a tertiary medical center. Transcorporal (TC) indications included complications of prior anti-incontinence procedures and prior urethral reconstruction. Read More

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http://dx.doi.org/10.1097/JU.0000000000001148DOI Listing

Female neurogenic stress urinary incontinence.

Curr Opin Urol 2020 Jul;30(4):496-500

Department of Urology, HUP La Fe, Valencia, Spain.

Purpose Of Review: The aim of this article is to look into recent updates on the management of neurogenic stress urinary incontinence (NSUI) in adult females.

Recent Findings: Recently, a small number of studies have investigated different surgical modalities in treatment of NSUI in adult females including artificial urinary sphincter (AUS), suburethral tapes (SUT) and adjustable slings and urethral bulking agents. Up to 70% of neurogenic patients who received AUS implants are continent and have not required surgical revision over a 20-year follow-up period. Read More

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http://dx.doi.org/10.1097/MOU.0000000000000785DOI Listing

Intraurethral catheter placement does not change the external circumferential measurement of the urethra during AUS placement: A prospective observational trial.

Neurourol Urodyn 2020 06 25;39(5):1538-1542. Epub 2020 May 25.

Division of Urology, Duke University Medical Center, Durham, North Carolina.

Aims: Measuring the urethral circumference accurately during artificial urethral sphincter (AUS) placement is an important technical aspect to optimize the selection of cuff size. Differing methods exist for this step with some experts recommending measurement with no urethral catheter in place. In this prospective observational trial, we compared urethral measurements with and without an indwelling catheter to determine if the presence of a catheter affects the circumferential measurement. Read More

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http://dx.doi.org/10.1002/nau.24390DOI Listing

A new paradigm for surgical revision of the artificial urinary sphincter for recurrent stress urinary incontinence: Wilson's Workshop 11.

Int J Impot Res 2020 May 22. Epub 2020 May 22.

Department of Urology, Institute for Urologic Excellence, La Quinta, CA, USA.

Although the artificial urinary sphincter (AUS) is widely regarded as the "gold standard" for surgical correction of male stress urinary incontinence, long-term durability for symptom control is variable. A significant number of men will experience a decline in device-related improvement over time. With erosion of initial success, men sufficiently bothered by recurrent incontinence not caused by device malfunction may seek surgical revision. Read More

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http://dx.doi.org/10.1038/s41443-020-0307-8DOI Listing

Revisiting the penoscrotal approach to artificial urinary sphincter surgery: how does it compare to a perineal incision for initial implantation?

World J Urol 2020 May 21. Epub 2020 May 21.

Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

Purpose: Artificial urinary sphincters (AUS) remain the gold standard to treat male stress urinary incontinence. AUS implantation can be performed through a penoscrotal or perineal incision depending on surgeon preference.

Methods: The present study compares initial AUS implantation through two surgical approaches focusing on outcomes of continence and revision. Read More

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http://dx.doi.org/10.1007/s00345-020-03244-6DOI Listing

World record: Single AMS 800 artificial urinary sphincter functioning uninterrupted for 29 years in male paraplegic patient.

Urol Case Rep 2020 Sep 6;32:101240. Epub 2020 May 6.

Medical University Innsbruck, Department of Urology, 35 Anich Street, 6020, Innsbruck, Austria.

Lapides has revolutionized the treatment of neurogenic patients by introducing routine intermittent catheterization in 1971. This drastically lowered mortality from urosepsis. Scott introduced the artificial urinary sphincter (AUS) in 1972. Read More

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http://dx.doi.org/10.1016/j.eucr.2020.101240DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225619PMC
September 2020

[Influence of urethral self-dilatation on the morbidity of the artificial urinary sphincter after endoscopic treatment of recurrent stenosis of the vesicourethral anastomosis].

Prog Urol 2020 May 5;30(6):304-311. Epub 2020 May 5.

Service d'urologie, Nouvel hôpital civil, CHU de Strasbourg, Strasbourg, France.

Objective: To analyze the morbidity of the practice of daily self-dilatation (SD) in patients undergoing total prostatectomy, who have had artificial urinary sphincter (AUS) for urinary incontinence (UI) and who have had a recurrence of endoscopically treated vesicourethral anastomosis (VUS) stenosis.

Materials And Method: One hundred and thirty-eight patients with SUA for urinary incontinence (UI) fitted between 1998 and 2007 were divided into two groups. Thirty-five patients have had used self-dilatation (SD) for recurrent anastomotic stenosis (SD group) and 103 patients did not perform SD (non-SD group). Read More

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http://dx.doi.org/10.1016/j.purol.2020.03.008DOI Listing

Concurrent Penile Prosthesis and Artificial Urinary Sphincter Penile Prosthesis and Male Sling: A National Multi-Institutional Analysis of National Surgical Quality Improvement Program Database Comparing Postoperative Morbidity.

World J Mens Health 2020 Apr 21. Epub 2020 Apr 21.

Department of Urology, Tulane University School of Medicine, New Orleans, LA, USA.

Purpose: We aimed to assess the 30-day morbidity in patients undergoing combined insertion of penile prosthesis (PP) and artificial urinary sphincter (AUS) . PP and male sling (MS).

Materials And Methods: The National Surgical Quality Improvement Program database was queried to identify patients who underwent placement of AUS or MS combined with PP. Read More

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http://dx.doi.org/10.5534/wjmh.190172DOI Listing

Urethral stricture management in male candidates to artificial urinary sphincter: Is the best always the enemy of the good?

Prog Urol 2020 May 4;30(6):301-303. Epub 2020 May 4.

Department of urology, New York university, New York, USA.

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http://dx.doi.org/10.1016/j.purol.2020.04.011DOI Listing

Investigation of interaction phenomena between lower urinary tract and artificial urinary sphincter in consideration of urethral tissues degeneration.

Biomech Model Mechanobiol 2020 May 3. Epub 2020 May 3.

Department of Industrial Engineering, University of Padova, Via Venezia 1, 35131, Padua, Italy.

Lower urinary tract dysfunction pertains to symptoms related to the lower urinary tract (LUT), with consequent incontinence. Artificial urinary sphincters (AUS) are adopted to obtain continence conditions, mainly in male subjects, via urethral occlusion by applying pressure load, mostly operating on the basis of an empirical approach. Considering the frequent access of elderly patients to this surgical practice, tissue degradation related to aging phenomena must be investigated. Read More

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http://dx.doi.org/10.1007/s10237-020-01326-3DOI Listing

Overactive bladder and urgency urinary incontinence in men undergoing artificial urinary sphincter placement.

Neurourol Urodyn 2020 06 27;39(5):1489-1493. Epub 2020 Apr 27.

Department of Urology, Miami Cancer Institute, Baptist Health South Florida, Kendall, Florida.

Purpose: To assess persistent and de novo rates of overactive bladder (OAB) and urgency urinary incontinence (UUI) in patients with incontinence after prostate treatment (IPT) focusing on differences between surgical intervention vs radiation.

Methods: We performed a retrospective review of 79 patients who underwent primary artificial urinary sphincter (AUS) placement and activation from a single surgeon between February 2012 and November 2017. Four patients with neurogenic bladder were excluded and two with insufficient follow-up. Read More

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http://dx.doi.org/10.1002/nau.24378DOI Listing
June 2020
2.873 Impact Factor

Major Complications after Male Anti-IncontinenceProcedures: Predisposing Factors, Management and Prevention.

Urol J 2020 Apr 20. Epub 2020 Apr 20.

Department of Urology and Centre of Urooncology, Semmelweis University, Budapest, HUNGARY.

Purpose: Significant post-prostatectomy incontinence (PPI) is a crippling condition and managed best through sling or artificial urinary sphincter (AUS) implantation. These procedures are often associated with complications requiring surgical intervention. The aim of our retrospective study was to evaluate the occurrence of major complications and identify risk factors. Read More

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http://dx.doi.org/10.22037/uj.v0i0.5712DOI Listing

Salvage open radical prostatectomy for recurrent prostate cancer following MRI-guided transurethral ultrasound ablation (TULSA) of the prostate: feasibility and efficacy.

Scand J Urol 2020 Jun 20;54(3):215-219. Epub 2020 Apr 20.

Division of Urology, Department of Surgery, Western University, London, ON, Canada.

MRI-guided transurethral ultrasound ablation (TULSA) is a novel modality for minimally invasive ablation in patients with localised prostate cancer (PCa). A multi-national Phase 1 (30 patients) and subsequent Phase 2 (115 patients) study showed TULSA to be feasible, safe and well tolerated. However, technical viability and safety of salvage prostatectomy for those who failed TULSA is unclear. Read More

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http://dx.doi.org/10.1080/21681805.2020.1752795DOI Listing

Artificial Urinary Sphincter Outperforms Sling for Moderate Male Stress Urinary Incontinence.

Urology 2020 Jul 11;141:168-172. Epub 2020 Apr 11.

Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX. Electronic address:

Objectives: To determine the role of slings and artificial urinary sphincters (AUS) in the management of mild and moderate stress urinary incontinence (SUI).

Methods: A retrospective review of our single-surgeon male SUI database was completed. Men having AUS or AdVance sling procedures between 2008 and 2019 were included in the analysis. Read More

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http://dx.doi.org/10.1016/j.urology.2020.03.028DOI Listing

Longitudinal changes in patient-reported outcomes after artificial urinary sphincter implantation.

Low Urin Tract Symptoms 2020 Apr 13. Epub 2020 Apr 13.

Department of Urology, Tokyo Medical and Dental University, Tokyo, Japan.

Objective: To evaluate the time course of lower urinary tract symptoms (LUTS) after artificial urinary sphincter (AUS) implantation based on individual longitudinal changes of patient-reported outcomes.

Methods: This retrospective study included 66 male patients with severe urinary incontinence who were treated with primary AUS implantation between 2009 and 2019. International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) and International Prostate Symptom Score (IPSS) questionnaires were used to evaluate continence status and LUTS preoperatively, 1, 3, and 12 months after activation, and then annually. Read More

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http://dx.doi.org/10.1111/luts.12311DOI Listing

What if artificial urinary sphincter is not possible? Feasibility and effectiveness of ProACT for patients with persistent stress urinary incontinence after radical prostatectomy treated by sling.

Neurourol Urodyn 2020 06 6;39(5):1417-1422. Epub 2020 Apr 6.

Department of Urology, Hopitaux Universitaires de Strasbourg, 1 Place de l'Hôpital, Strasbourg, France.

Background: Stress urinary incontinence (SUI) is a major component of the post radical prostatectomy (RP) trifecta. Surgical treatments are sub-urethral slings, artificial urinary sphincter (AUS) and adjustable peri-urethral balloons (PUB) ProACT. All options are imperfect at best and persistent SUI is challenging when AUS is not manageable. Read More

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http://dx.doi.org/10.1002/nau.24355DOI Listing

Comparative analysis of occlusion methods for artificial sphincters.

Artif Organs 2020 Mar 26. Epub 2020 Mar 26.

The BioRobotics Institute, Scuola Superiore Sant'Anna, Pontedera, Italy.

An artificial sphincter is a device that replaces the function of the biological sphincter by occluding the relative biological lumen. The investigation of occlusion methods for artificial sphincters is crucial for a reliable and effective design of such devices. The compression induced onto the tissue by a certain pressure depends on the biomechanical and physiological features of the lumen and on the specific occlusion method. Read More

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http://dx.doi.org/10.1111/aor.13684DOI Listing

The impact of perioperative complications on favorable outcomes after artificial urinary sphincter implantation for post-prostatectomy incontinence.

Int Braz J Urol 2020 Jul-Aug;46(4):632-639

Department of Urology, Ludwig-Maximilians-University, Campus Großhadern, Munich, Germany.

Objective: To investigate the effect of perioperative complications involving artificial urinary sphincter (AUS) implantation on rates of explantation and continence as well as health-related quality of life (HRQOL).

Materials And Methods: Inclusion criteria encompassed non-neurogenic, moderate-to-severe stress urinary incontinence (SUI) post radical prostatectomy and primary implantation of an AUS performed by a high-volume surgeon (>100 previous implantations). Reporting complications followed the validated Clavien-Dindo scale and Martin criteria. Read More

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http://dx.doi.org/10.1590/S1677-5538.IBJU.2019.0526DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7239277PMC
September 2019

Synchronous surgery for the combined treatment of post-radical prostatectomy erectile dysfunction and stress urinary incontinence: a lucrative evolution or an unnecessary complexity?

Int J Impot Res 2020 Mar 17. Epub 2020 Mar 17.

Department of Urology, Jessa Hospital, Hasselt, Belgium.

Aim of this review is to summarize and evaluate the current literature addressing the synchronous combined surgical treatment approach for co-existent post-radical prostatectomy erectile dysfunction and stress urinary incontinence. Severity of stress urinary incontinence is the basic element that defines which option of combined surgery will be offered to a patient. So, for cases of severe erectile dysfunction and severe stress urinary incontinence (>4 pads/day) the only available option is synchronous inflatable penile prosthesis plus artificial urinary sphincter dual implantation. Read More

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http://dx.doi.org/10.1038/s41443-020-0253-5DOI Listing

Ventral Buccal Mucosa Graft Urethroplasty with Gracilis Muscle Flap for High Risk, Long Segment Urethral Strictures: A 20-Year Experience.

Urology 2020 Jun 17;140:178-180. Epub 2020 Mar 17.

Lahey Hospital and Medical Center, Institute of Urology, Burlington, MA. Electronic address:

Objective: To evaluate our 20-year experience of urethroplasty with ventral buccal mucosa graft (BMG) and gracilis muscle flap coverage for long segment urethral strictures unfit for standard repair due to a compromised graft bed and poor vascular supply.

Methods: We retrospectively reviewed the records of 1687 patients who underwent urethroplasty at our institution between 1999 and 2019. We identified 30 patients who underwent urethroplasty with a ventral BMG and gracilis muscle flap graft bed. Read More

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http://dx.doi.org/10.1016/j.urology.2020.03.008DOI Listing

A NOVEL COMPRESSION TECHNIQUE ON URETHRA BY TURKISH CONTINENCE DEVICE FOR MALE URINARY INCONTINENCE.

Turk J Med Sci 2020 Mar 10. Epub 2020 Mar 10.

Background/aim: Although many techniques have been described until today, male sling operation and artificial urinary sphincter implantation are common methods for treating urinary incontinence. But there are some handicaps with these methods such as infection, urethral erosion, pain, inefficiency and technical difficulties of operations. We described a new device named Turkish Continence Device (TCD) which had some advantage over the other methods. Read More

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http://dx.doi.org/10.3906/sag-1907-5DOI Listing

Artificial urinary sphincter: current status and future directions.

Authors:
Culley C Carson

Asian J Androl 2020 Mar-Apr;22(2):154-157

Department of Urology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.

Urge urinary incontinence (UUI) is one of the most troublesome complications of surgery of the prostate whether for malignancy or benign conditions. For many decades, there have been attempts to reduce the morbidity of this outcome with variable results. Since its development in the 1970s, the artificial urinary sphincter (AUS) has been the "gold standard" for treatment of the most severe cases of UUI. Read More

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http://dx.doi.org/10.4103/aja.aja_5_20DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7155799PMC

Management of erectile dysfunction and LUTS/incontinence: the two most common, long-term side effects of prostate cancer treatment.

Can J Urol 2020 Feb;27(1S1):17-24

Division of Urology, University Health Network, University of Toronto, Toronto, Ontario, Canada.

The two major long-term concerns associated with different options for the management of prostate cancer, (including surgery, radiotherapy, brachytherapy, cryotherapy, HIFU, etc.) include difficulties with lower urinary tract symptoms (LUTS) and/or erectile dysfunction. LUTS can be in the form of stress urinary incontinence (SUI), urge urinary incontinence (UUI), frequency/urgency, and/or voiding difficulties. Read More

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February 2020

Joint Report on Terminology for Surgical Procedures to Treat Stress Urinary Incontinence in Women.

Authors:

Female Pelvic Med Reconstr Surg 2020 Mar;26(3):162-172

Introduction And Hypothesis: Standardized terminology for surgical procedures commonly performed to treat stress urinary incontinence in women is needed to facilitate research, clinical care, and teaching in female pelvic medicine and reconstructive surgery.

Methods: This report combines the input of members of the American Urogynecologic Society and the International Urogynecological Association, assisted by external referees. Extensive searches of the literature were performed, including Instructions for Use brochures and original source documents where possible. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000831DOI Listing

Buccal mucosal graft urethroplasty for radiation-induced urethral strictures: an evaluation using the extended Urethral Stricture Surgery Patient-Reported Outcome Measure (USS PROM).

World J Urol 2020 Feb 18. Epub 2020 Feb 18.

Department of Urology, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany.

Objectives: To evaluate objective treatment success and subjective patient-reported outcomes in patients with radiation-induced urethral strictures undergoing single-stage urethroplasty.

Patients And Methods: Monocentric study of patients who underwent single-stage ventral onlay buccal mucosal graft urethroplasty for a radiation-induced stricture between January 2009 and December 2016. Patients were characterized by descriptive analyses. Read More

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http://dx.doi.org/10.1007/s00345-020-03102-5DOI Listing
February 2020

Joint report on the terminology for surgical procedures to treat stress urinary incontinence in women.

Authors:

Int Urogynecol J 2020 03;31(3):465-478

Introduction And Hypothesis: Standardized terminology for surgical procedures commonly performed to treat stress urinary incontinence in women is needed to facilitate research, clinical care, and teaching in female pelvic medicine and reconstructive surgery.

Methods: This report combines the input of members of the American Urogynecologic Society and the International Urogynecological Association, assisted by external referees. Extensive searches of the literature were performed, including Instructions for Use brochures and original source documents where possible. Read More

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http://dx.doi.org/10.1007/s00192-020-04237-0DOI Listing

Pressure Regulating Balloon Herniation: A Correctable Cause of Artificial Urinary Sphincter Malfunction.

Urology 2020 May 10;139:188-192. Epub 2020 Feb 10.

Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX. Electronic address:

Objective: To report our experience with isolated pressure regulating balloon (PRB) replacement for artificial urinary sphincter (AUS) malfunction in the setting of PRB herniation.

Methods: A retrospective review of our large single-surgeon male AUS database was completed. We analyzed men with herniated PRBs palpable in the groin within an otherwise intact system. Read More

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http://dx.doi.org/10.1016/j.urology.2020.01.036DOI Listing

[Anastomosis stenosis after radical prostatectomy and bladder neck stenosis after benign prostate hyperplasia treatment: reconstructive options].

Urologe A 2020 Apr;59(4):398-407

Klinik für Urologie, Asklepios Klinik Barmbek, Rübenkamp 220, 22307, Hamburg, Deutschland.

Bladder neck stenosis (BNS) after simple prostatectomy and vesicourethral anastomosis stenosis (VUAS) after radical prostatectomy for prostate cancer are common sequelae. However, the two entities differ in their pathology, anatomy and their surgical results. VUAS has an incidence of 0. Read More

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http://dx.doi.org/10.1007/s00120-020-01143-7DOI Listing

The impact of prior external beam radiation therapy on device outcomes following artificial urinary sphincter revision surgery.

Transl Androl Urol 2020 Feb;9(1):67-72

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

Background: Previous reports on the effect of radiation therapy on primary artificial urinary sphincter (AUS) device survival have met with conflicting results, and data evaluating this after revision surgery is sparse. Thus, we evaluated AUS device outcomes after revision surgery, and compared them among individuals who did versus did not undergo prior radiation therapy.

Methods: A database of patients who underwent AUS revision surgery at our institution was used to perform a retrospective review. Read More

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http://dx.doi.org/10.21037/tau.2019.09.09DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6995922PMC
February 2020

Comparison of 3.5 cm and transcorporal cuffs in high-risk artificial urinary sphincter populations.

Transl Androl Urol 2020 Feb;9(1):62-66

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

Background: The transcorporal (TC) artificial urinary sphincter (AUS) has traditionally been utilized in high-risk patients with urethral atrophy or prior urethral erosion. The 3.5 cm AUS cuff has been developed for use in a similar population. Read More

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http://dx.doi.org/10.21037/tau.2019.09.33DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6995934PMC
February 2020

Long-term device survival and quality of life outcomes following artificial urinary sphincter placement.

Transl Androl Urol 2020 Feb;9(1):56-61

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

Background: Artificial urinary sphincter (AUS) placement is the standard for treatment of severe male stress urinary incontinence (SUI). While there is evidence to suggest satisfactory device survival, there is a paucity of data addressing long-term quality of life outcomes.

Methods: We identified patients who underwent primary AUS placement from 1983 to 2016. Read More

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http://dx.doi.org/10.21037/tau.2019.08.02DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6995928PMC
February 2020

Urethral atrophy is now a rare cause for artificial urinary sphincter revision surgery in the contemporary 3.5 cm cuff era.

Transl Androl Urol 2020 Feb;9(1):50-55

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

Background: Urethral atrophy has long been suggested as the leading cause of artificial urinary sphincter (AUS) revision. Since the introduction of the 3.5 cm AUS cuff in 2010, precise cuff sizing primarily has been suggested to reduce revisions due to urethral atrophy. Read More

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http://dx.doi.org/10.21037/tau.2019.07.18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6995939PMC
February 2020

Outcomes of artificial urinary sphincter in female with neurological stress urinary incontinence: a long-term follow-up.

World J Urol 2020 Feb 12. Epub 2020 Feb 12.

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

Purpose: To report the outcomes of AUS in women with neurological SUI resulting from intrinsic sphincter deficiency after a follow-up from 3 to 20 years.

Methods: The charts of female with moderate to severe neurological SUI who underwent open or laparoscopic AUS implantation between November 1994 and July 2014 were reviewed retrospectively. All patients were operated by a single experienced surgeon. Read More

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http://dx.doi.org/10.1007/s00345-020-03105-2DOI Listing
February 2020

Outcomes and Complications After Intervention for Postradiation Prostatic Urethral Stenosis.

Urology 2020 May 28;139:193-197. Epub 2020 Jan 28.

Department of Urology, Northwell Health, Lake Success, NY. Electronic address:

Objective: To study and report on treatment outcomes after surgical intervention for postradiation prostatic urethral stenosis.

Methods: A retrospective chart review was performed, identifying all patients treated at our institution from July 2014-June 2018 with the ICD-10 code N42.89 for prostatic urethral stenosis. Read More

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http://dx.doi.org/10.1016/j.urology.2019.11.063DOI Listing