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)
Article
Urology & Nephrology
Mehdi El-Akri, Imad Bentellis, Thibault Tricard, Thibaut Brierre, Tiffany Cousin, Hugo Dupuis, Nicolas Hermieu, Victor Gaillard, Baptiste Poussot, Damien Robin, Alice Pitout, Florian Beraud, Priscilla Bertrand-Leon, Daniel Chevallier, Franck Bruyere, Xavier Biardeau, Herve Monsaint, Luc Corbel, Christian Saussine, Jean-Francois Hermieu, Pierre Lecoanet, Gregoire Capon, Jean-Nicolas Cornu, Xavier Game, Alain Ruffion, Benoit Peyronnet
Summary: Comparing transcorporal vs bulbar artificial urinary sphincter (AUS) implantation in men with fragile urethra, it was found that the history of previous AUS explantation was the only risk factor associated with shorter explantation-free survival in this population. Patients with a history of previous AUS explantation may be the only ones to benefit from transcorporal AUS implantation.
WORLD JOURNAL OF UROLOGY
(2021)
Review
Andrology
Jeffery S. Lin, Alexander J. Skokan, Hunter Wessells, Judith C. Hagedorn
Summary: This article provides a comprehensive review of the use of artificial urinary sphincter (AUS) in the treatment of stress urinary incontinence (SUI) in complex cases. The article identifies risk factors associated with AUS failure and suggests various surgical strategies to reduce device complications.
TRANSLATIONAL ANDROLOGY AND UROLOGY
(2023)
Review
Andrology
Jeffery S. Lin, Alexander J. Skokan, Hunter Wessells, Judith C. Hagedorn
Summary: This article reviews the challenges of using artificial urinary sphincter (AUS) in high-risk patients and synthesizes existing data on relevant disease states to support surgeons in successfully managing stress urinary incontinence (SUI). A comprehensive literature review was conducted, and guidance is provided based on expert opinion where existing literature was lacking. Several patient risk factors associated with AUS failure and strategies to decrease device complications are discussed. Optimization of urethral health, confirmation of anatomical and functional stability of the lower urinary tract, and thorough patient counseling are essential for high-risk patients.
TRANSLATIONAL ANDROLOGY AND UROLOGY
(2023)
Article
Urology & Nephrology
Jordan Mamane, Stephane Sanchez, Alexandre G. Lellouch, Victor Gaillard, Baptiste Poussot, Thibault Tricard, Christian Saussine, Thibaut Brierre, Xavier Game, Florian Beraud, Xavier Biardeau, Franck Bruyere, Damien Robin, Mehdi El-Akri, Daniel Chevallier, Mathieu Durand, Imad Bentellis, Tiffany Cousin, Gregoire Capon, Jean-Nicolas Cornu, Hugo Dupuis, Herve Monsaint, Luc Corbel, Nicolas Hermieu, Jean-Francois Hermieu, Alice Pitout, Pierre Lecoanet, Benoit Peyronnet, Priscilla Leon
Summary: Male patients with a history of pelvic radiotherapy have poorer device survival outcomes following artificial urinary sphincter implantation, with increased risk of infection-erosion and need for explantation.
NEUROUROLOGY AND URODYNAMICS
(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
Multidisciplinary Sciences
Takaaki Yoshimura, Kentaro Nishioka, Takayuki Hashimoto, Takashi Mori, Shoki Kogame, Kazuya Seki, Hiroyuki Sugimori, Hiroko Yamashina, Yusuke Nomura, Fumi Kato, Kohsuke Kudo, Shinichi Shimizu, Hidefumi Aoyama
Summary: In this study, a methodology using post-urination magnetic resonance imaging (PU-MRI) without a urethral catheter was developed to visualize the prostatic urinary tract. The combination of PU-MRI and super-resolution (SR) deep learning models improved the visibility of the prostatic urinary tract. The results suggest that SR images using RDN are similar to the original images, and the SR deep learning models subjectively improve the visibility of the prostatic urinary tract.
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)
Review
Medicine, General & Internal
Mehmet Murat Seval, Kazibe Koyuncu
Summary: Stem cells have the potential to be used in regenerative medicine for treating lower urinary tract dysfunction and stress urinary incontinence. However, further research and validation are needed for clinical applications of stem cell therapy.
FRONTIERS IN MEDICINE
(2022)
Article
Urology & Nephrology
Mitchell M. Huang, Phillip Huffman, Hasan Dani, Pedro G. Knijnik, Arthur F. da Silva, Arthur L. Burnett, Jacek L. Mostwin, Edward J. Wright, Andrew J. Cohen
Summary: This study evaluated the impact of a history of radiation therapy on the failure of replacement AUS in men. The results showed that men with a history of radiation had a shorter time to device failure and the radiation history increased the risk of device failure.
JOURNAL OF UROLOGY
(2022)
Review
Surgery
Li Zhang, Yanwen Xu
Summary: Meta-analysis shows that radiotherapy reduces the odds of complete continence in patients with AUS, but increases the risk of revision surgery, erosions, and explantations.
FRONTIERS IN SURGERY
(2022)
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
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)