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Current Urology Reports

, 18:18 | Cite as

A Systematic Approach to the Evaluation and Management of the Failed Artificial Urinary Sphincter

  • Amy D. Dobberfuhl
  • Craig V. Comiter
Female Urology (K Kobashi, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Female Urology

Abstract

In men with post-prostatectomy incontinence, persistent or recurrent urinary leakage following artificial urinary sphincter placement is a frustrating complaint. Surgical failure can be classified as occurring early in the post-operative period vs. late—following a period of established continence—and should be managed according to the time course and severity of urinary leakage. We present a systematic approach for the evaluation and treatment of the failed artificial urinary sphincter. After considering the patient’s individualized treatment goals and impact on quality of life, the clinician can more appropriately advise patients on a management strategy for their recurrent or persistent urinary incontinence following artificial urinary sphincter placement.

Keywords

Artificial urinary sphincter Equipment failure Incidence Overactive urinary bladder Prostatectomy Prostatic neoplasms 

Abbreviations

AUS

Artificial urinary sphincter

ISD

Intrinsic sphincter deficiency

PPI

Post-prostatectomy incontinence

PRB

Pressure regulating balloon

SUI

Stress urinary incontinence

Notes

Compliance with Ethical Standards

Conflict of Interest

Amy D. Dobberfuhl is a Principle Investigator for SUFU Foundation Study of Chemodenervation funded by the Allergan Foundation.

Craig V. Comiter is a consultant and clinical investigator for Coloplast.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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© Springer Science+Business Media New York 2017

Authors and Affiliations

  1. 1.Department of UrologyStanford University School of MedicineStanfordUSA

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