1,454 results match your criteria Artificial Urinary Sphincter


Effect of artificial urinary sphincter implantation on erectile function and sexual satisfaction.

Andrologia 2019 Apr 17:e13295. Epub 2019 Apr 17.

Deparment of Urology, University of Health Sciences, Haydarpasa Numune Research & Training Hospital, Istanbul, Turkey.

Artificial urinary sphincter (AUS) implantation is the gold standard treatment in total stress urinary incontinence (SIU). Our aim is to evaluate the effect of AUS implantation on erectile function and sexual satisfaction (SS). Fourteen patients aged 58-73 years (mean: 66. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/and.13295
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http://dx.doi.org/10.1111/and.13295DOI Listing
April 2019
1 Read

Surgical Management of Neurogenic Sphincter Incompetence in Children.

Front Pediatr 2019 26;7:97. Epub 2019 Mar 26.

Pediatric Surgery and Urology, Kinder- und Jugendkrankenhaus Auf der Bult, Hanover, Germany.

We report on the results of a literature review regarding the indications and results of operations to increase bladder outlet resistance to achieve dryness in children with neurogenic sphincter incompetence (NSBD). The relative advantages and disadvantages of injection of bulking agents, periurethral slings, bladder neck reconfiguration, artificial sphincters, and bladder neck closure based on a literature review and our combined clinical experience are discussed. Based on this review and our experience, we propose that periurethral injection of bulking agents is not justified as a primary treatment. Read More

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http://dx.doi.org/10.3389/fped.2019.00097DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6448010PMC
March 2019
3 Reads

Impact of previous urethroplasty on the outcome after artificial urinary sphincter implantation: a prospective evaluation.

World J Urol 2019 Apr 12. Epub 2019 Apr 12.

Department of Urology, Caritas St. Josef Medical Centre, University of Regensburg, Regensburg, Germany.

Purpose: To evaluate the impact of previous urethroplasty on complication rates and postoperative continence after primary artificial urinary sphincter (AUS) implantation in male patients with severe stress urinary incontinence.

Patients And Methods: A prospective evaluation of patients undergoing primary AUS implantation was conducted. Patients with previous radiotherapy, AUS implantation or urethral stent placement were excluded. Read More

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http://dx.doi.org/10.1007/s00345-019-02756-0DOI Listing

Surgery for Male Stress Incontinence: Which Technique and When?

Eur Urol Focus 2019 Apr 5. Epub 2019 Apr 5.

University Hospitals KU Leuven, Leuven, Belgium. Electronic address:

Several devices exist for treating postprostatectomy incontinence. In specific cases, male slings can offer good results instead of an artificial urinary sphincter. This short consultation guide aims to help in offering the right surgery to the right patient. Read More

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http://dx.doi.org/10.1016/j.euf.2019.03.017DOI Listing

Synchronous Urethral Repair During Prosthetic Surgery: Safety of Planned and Damage Control Approaches Using Suprapubic Tube Urinary Diversion.

J Sex Med 2019 Apr 5. Epub 2019 Apr 5.

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

Background: Urethral injury during inflatable penile prosthesis (IPP) or artificial urinary sphincter (AUS) placement is rare, and traditionally most prosthetic surgeons abort prosthetic implantation when urethral repair is necessary.

Aim: To report our experience with synchronous urethroplasty (SU) as a planned or damage control surgery during urologic prosthetic surgery, to evaluate the safety and outcomes of the procedure.

Methods: A retrospective review of our IPP and AUS database was completed to identify patients who underwent an SU between 2007 and 2018. Read More

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http://dx.doi.org/10.1016/j.jsxm.2019.03.008DOI Listing
April 2019
1 Read

Role of robotic surgery in functional urology.

Arch Esp Urol 2019 04;72(3):326-335

Hospital Universitario Rey Juan Carlos. Madrid. España.

Three-dimensional, high-definition images, small instruments with endowrist technology, ergonomic position and the easiness to teach, are possibly the main reasons why robotic surgery will continue to gain ground to others forms of surgery. The current applications of robotics in functional urology are: the correction of pelvic organ prolapse, the correction of female stress urinary incontinence (artificial urinary sphincter) and the treatment of chronic pelvic pain (pudendal nerveneurolysis). In this paper, we explain our robotic techniques in these three scenarios, as well as, provide the most updated data of our series. Read More

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April 2019
9 Reads

Interaction phenomena between a cuff of an artificial urinary sphincter and a urethral phantom.

Artif Organs 2019 Mar 13. Epub 2019 Mar 13.

Centre for Mechanics of Biological Materials, University of Padova, Italy.

Male urinary incontinence is highly prevalent, leading to a miserable quality of life. The Artificial Urinary Sphincter (AUS) is the device that closely simulates the function of the biological urinary sphincter. The precise evaluation of occlusion mechanisms and of interaction phenomena occurring between AUS cuff and urethral duct is fundamental for a more reliable design. Read More

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http://doi.wiley.com/10.1111/aor.13455
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http://dx.doi.org/10.1111/aor.13455DOI Listing
March 2019
4 Reads

Artificial urinary sphincter longevity following transurethral resection of the prostate in the setting of prostate cancer.

World J Urol 2019 Mar 2. Epub 2019 Mar 2.

Division of Urology, NorthShore University HealthSystem, Evanston, USA.

Purpose: Refractory urinary incontinence after channel transurethral resection of the prostate (cTURP) (TURP in the setting of prostate cancer) is a rare occurrence treated with artificial urinary sphincter (AUS). We sought to characterize those patients receiving AUS after cTURP and understand device longevity.

Materials And Methods: We identified patients who underwent cTURP and AUS placement in SEER-Medicare from 2002 to 2014. Read More

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http://dx.doi.org/10.1007/s00345-019-02684-zDOI Listing
March 2019
3 Reads

Male Slings for Post-prostatectomy Incontinence.

Rev Urol 2018 ;20(4):158-169

Department of Urology, Naval Medical Center San Diego San Diego, CA.

Stress urinary incontinence following radical prostatectomy can have a significant impact on a man's quality of life. Male slings offer a perceived minimally invasive treatment option and do not require the manual dexterity necessary to operate an artificial urinary sphincter. In this review, we outline the history of male slings and discuss the various fixed and adjustable slings that are available on the market. Read More

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http://dx.doi.org/10.3909/riu080DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6375003PMC
January 2018

Long-term (>5 years) outcomes of patients implanted with artificial urinary sphincter: A single-center experience.

Urol Ann 2019 Jan-Mar;11(1):15-19

Division of Urology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.

Introduction: This study is conducted to evaluate the long-term outcomes, including effectiveness and complications, of artificial urinary sphincter (AUS) implantation in men with primarily stress urinary incontinence.

Materials And Methods: Consecutive patients with complete data sets and a continuous follow-up with the device in place for 5 years or more were included. We analyzed effectiveness through pads per day use, and complications were assessed based on device revisions and explantations. Read More

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http://dx.doi.org/10.4103/UA.UA_71_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362798PMC
February 2019

Combined Placement of Artificial Urinary Sphincter and Inflatable Penile Prosthesis Does Not Increase Risk of Perioperative Complications or Impact Long-term Device Survival.

Urology 2019 Feb 26;124:264-270. Epub 2018 Oct 26.

Northshore University Health System, Evanston, IL.

Objective: To determine the impact of concurrent inflatable penile prosthesis (IPP) and artificial urinary sphincter (AUS) implantation on perioperative complications and long-term device survival, among men with postprostatectomy erectile dysfunction and urinary incontinence.

Methods: We identified men older than 65 treated with radical prostatectomy in the Surveillance, Epidemiology, and End Results Medicare database between 2002 and 2016. IPP or AUS placement was determined by current procedural terminology (CPT) code, with dual implantation (DI) defined as IPP and AUS placement on the same date. Read More

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http://dx.doi.org/10.1016/j.urology.2018.10.033DOI Listing
February 2019
3 Reads

Are Slings Still the Gold Standard for Female Stress Urinary Incontinence? Con: Artificial Urinary Sphincter for Female Incontinence.

Eur Urol Focus 2019 Feb 13. Epub 2019 Feb 13.

Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden.

As slings are the most frequent first-line treatment for management of female urinary incontinence, an artificial urinary sphincter may be indicated in cases of failure and sphincter deficiency. The level of evidence has to improve and prospective studies or new devices are awaited. Read More

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http://dx.doi.org/10.1016/j.euf.2019.01.017DOI Listing
February 2019

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

J Urol 2019 Jan 31:101097JU0000000000000102. Epub 2019 Jan 31.

Department of Urology, Section of Female Pelvic and Reconstructive Surgery, Mayo Clinic , Rochester , Minnesota.

Purpose: We evaluated the rate of bacterial colonization in artificial urinary sphincters during revision surgery for noninfectious etiologies.

Materials And Methods: We evaluated bacterial culture swab data on all explanted artificial urinary sphincter components (cuff, pump and reservoir) in patients who underwent revision surgery between February 2016 and July 2018. Those treated with revision for infection or erosion were excluded from study. 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 May 18;127:127-132. 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
May 2019
13 Reads

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

World J Urol 2019 Apr 17;37(4):647-653. 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
April 2019
4 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 2019 Mar 31;29(4):246-252. 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
March 2019
6 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 2019 Feb 21;38(2):710-718. 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
February 2019
4 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
3 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 2019 Mar 30;125:58-63. 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
March 2019
21 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
16 Reads

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

Turk J Urol 2018 Nov 26;45(2):124-128. 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 02 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
124 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
17 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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442165PMC
February 2019
6 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
13 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
4 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 - Dec;52(5-6):448-452. 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
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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
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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
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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
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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
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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