Article
Medicine, General & Internal
Tomasz Szopinski, Iwona Sudol-Szopinska, Anna K. Czech, Jerzy Gasowski, Piotr L. Chlosta
Summary: This study evaluated the treatment outcomes of male urinary incontinence using an artificial urinary sphincter (AUS) with a cuff placed around the prostatic urethra. The analysis showed that cuff placement around the prostatic urethra resulted in better continence and fewer complications.
ARCHIVES OF MEDICAL SCIENCE
(2022)
Review
Surgery
Jae Joon Park, Yejoon Hong, Allison Kwon, Sung Ryul Shim, Jae Heon Kim
Summary: This study conducted a systematic review and network meta-analysis on surgical treatments for post-prostatectomy urinary incontinence (PPUI), and found that artificial urethral sphincter, adjustable sling, and nonadjustable sling showed better treatment effects compared to injection of bulking agent.
INTERNATIONAL JOURNAL OF SURGERY
(2023)
Article
Urology & Nephrology
Utsav K. Bansal, Joseph P. Lopez, F. Nery Flores-Sandoval, Mohit Khera
Summary: The LSM technique offers a safe and effective alternative for AUS placement, reducing the risk of postoperative complications and resulting in high patient satisfaction with PRB placement and concealment.
CANADIAN JOURNAL OF UROLOGY
(2021)
Article
Urology & Nephrology
Jordan Nasri, Florian Beraud, Denis Seguier, Gauthier Delporte, Helene Behal, Jonathan Olivier, Arnauld Villers, Francois Marcelli, Xavier Biardeau
Summary: This study assessed the feasibility and safety of out-patient surgery for AUS implantation/revision in non-neurogenic men. The success rate of out-patient surgery was high, but special attention should be paid to patients undergoing anticoagulant therapy or belonging to a low socio-professional category.
WORLD JOURNAL OF UROLOGY
(2021)
Article
Urology & Nephrology
Juliette Cotte, Agnes Dechartres, Pierre Mozer, Florence Poinard, Emmanuel Chartier-Kastler, Aurelien Beaugerie
Summary: This study compares the long-term device survival between women and men after the first implantation of an AMS800 artificial urinary sphincter and finds that women have better device survival after the first 6 months.
NEUROUROLOGY AND URODYNAMICS
(2023)
Review
Engineering, Biomedical
Minghui Wang, Yucheng Liao, Yunlong Liu, Wei Zhou, Hongliu Yu
Summary: This study aims to design an ideal artificial urinary sphincter and discusses the deficiencies of existing designs. It focuses on individual improvement, engineering design elements, and optimization of the manufacturing process. The ultimate goal is to improve the quality of life for patients, but further research is needed to support this approach.
Article
Urology & Nephrology
Thibault Tricard, A. Schirmann, P. Munier, A. Schroeder, C. Saussine
Summary: The study reported the outcomes of artificial urinary sphincter (AUS) implantation in women with neurological stress urinary incontinence (SUI) over a 3 to 20 year follow-up period. The majority of patients achieved long-term continence after the surgery.
WORLD JOURNAL OF UROLOGY
(2021)
Article
Urology & Nephrology
Eric Chung, Limin Liao, Jang Hwan Kim, Zhong Wang, Takeya Kitta, Alex Tong-Long Lin, Kyu-Sung Lee, Liefu Ye, Peggy Chu, Yasuhiro Kaiho, Mineo Takei, Hai Jiang, Joe Lee, Hitoshi Masuda, Vincent Tse
Summary: This AP AMS 800 artificial urinary sphincter consensus statement provides practical recommendations for surgeons performing AMS 800 device surgery. The statement emphasizes patient selection, preoperative assessment, management of co-existing urological disorders, surgical principles, postoperative care, and cost analysis. Strict adherence to patient selection and safe surgical principles is crucial for optimal outcomes and minimal complications.
INTERNATIONAL JOURNAL OF UROLOGY
(2023)
Article
Urology & Nephrology
Vincenzo Ficarra, Gianluca Giannarini, Giuseppe Alario, Gabriele Tulone, Marta Rossanese, Giuseppe Mucciardi, Claudio Valotto, Alchiede Simonato
Summary: In a retrospective cohort study of male patients undergoing open radical cystectomy with ileal orthotopic neobladder, it was found that the novel urethral fixation technique led to significant improvement in urinary continence recovery during daytime and nighttime compared to standard neovesical-urethral anastomosis, without an increase in perioperative complications.
MINERVA UROLOGY AND NEPHROLOGY
(2022)
Article
Urology & Nephrology
Alice Schroeder, Pierre Munier, Christian Saussine, Thibault Tricard
Summary: The study demonstrates that laparoscopic AUS implantation is an efficient treatment option for women with moderate to severe SUI, with a relatively good postoperative continence rate but higher complication rates, leading to a significant number of explantations and revisions.
WORLD JOURNAL OF UROLOGY
(2021)
Article
Urology & Nephrology
Kevin J. Hebert, Rano Matta, Joshua J. Horns, Niraj Paudel, Rupam Das, Tobias S. Kohler, Alexander W. Pastuszak, Benjamin J. McCormick, James M. Hotaling, Jeremy B. Myers
Summary: This study assessed the occurrence of venous thromboembolism (VTE) and associated risk factors in patients undergoing artificial urinary sphincter (AUS) and inflatable penile prosthesis (IPP) surgery. The results showed that 1.54% and 1.04% of patients experienced VTE events within 90 days of AUS and IPP surgery, respectively. A history of varicose veins, DVT, and PE was strongly associated with an increased likelihood of developing a postoperative VTE.
JOURNAL OF UROLOGY
(2022)
Article
Urology & Nephrology
Kevin J. Hebert, Rano Matta, Joshua J. Horns, Niraj Paudel, Rupam Das, Tobias S. Kohler, Alexander W. Pastuszak, Benjamin J. McCormick, James M. Hotaling, Jeremy B. Myers
Summary: This study assessed the incidence of venous thromboembolism (VTE) and associated risk factors following artificial urinary sphincter (AUS) and inflatable penile prosthesis (IPP) surgery. The results showed that a history of varicose veins, deep vein thrombosis (DVT), and pulmonary embolism (PE) was associated with an increased likelihood of developing a postoperative DVT or PE.
JOURNAL OF UROLOGY
(2022)
Article
Andrology
Zachary J. Prebay, David Ebbott, Halle Foss, Michael Li, Paul H. Chung
Summary: By leveraging a large research database, this study investigated the impact of various patient factors on the risk of device failure in patients with artificial urinary sphincters (AUS). The results showed that factors such as diabetes, smoking history, and history of urethroplasty increased the risk of AUS device failure, complications, and infections. These findings can help guide patient selection and counseling to reduce complications.
TRANSLATIONAL ANDROLOGY AND UROLOGY
(2023)
Article
Andrology
Zachary J. Prebay, David Ebbott, Halle Foss, Michael Li, Paul H. Chung
Summary: This study utilized a large research database to evaluate the impact of various patient factors on the risk of artificial urinary sphincter (AUS) failure. Smoking, urethroplasty, diabetes, and history of radiation therapy were identified as high-risk factors for AUS complications and re-intervention. These findings can guide patient selection and help reduce complications.
TRANSLATIONAL ANDROLOGY AND UROLOGY
(2023)
Review
Andrology
Bridget L. Findlay, Daniel S. Elliott
Summary: The artificial urinary sphincter (AUS) is used for the treatment of post-prostatectomy stress urinary incontinence and stress incontinence related to intrinsic sphincter deficiency (ISD) in the neurogenic bladder population. This review discusses technical considerations, efficacy, durability, and complications of AUS implantation in neurogenic urinary incontinence. Placement of the cuff at the bladder neck and robotic-assisted laparoscopic cuff placement are preferred techniques. Functional continence rates reported are between 75-90%. Secondary surgery rates are higher in neurogenic patients compared to non-neurogenic patients.
TRANSLATIONAL ANDROLOGY AND UROLOGY
(2023)