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Artificial Urinary Sphincter Complications: Risk Factors, Workup, and Clinical Approach

Abstract

Purpose of Review

To review risk factors for AUS complications and present a systematic approach to their diagnosis and management.

Recent Findings

Established risk factors for AUS complications include catheterization, channel TURP, pelvic radiation, urethroplasty, anticoagulation, cardiovascular disease, diabetes mellitus, frailty index, hypertension, low albumin, and low testosterone. We present our algorithm for diagnosis and management of AUS complications.

Summary

Despite being the gold standard of treatment for men with SUI, major and minor complications can occur at any point after AUS insertion. Careful consideration of the urologic, medical, and operative risk factors for each patient can help prevent complications. A systematic approach to early and late complications facilitates their identification and effective management. The evaluating urologist must have a thorough understanding of potential AUS complications in order to restore quality of life in men with bothersome SUI.

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Correspondence to Steven J. Hudak.

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Dr. Allen Morey receives honoraria for being a guest lecturer/meeting participant for Boston Scientific and Coloplast Corp.

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Khouri, R.K., Ortiz, N.M., Dropkin, B.M. et al. Artificial Urinary Sphincter Complications: Risk Factors, Workup, and Clinical Approach. Curr Urol Rep 22, 30 (2021). https://doi.org/10.1007/s11934-021-01045-x

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Keywords

  • Artificial urinary sphincter
  • Stress urinary incontinence
  • Urinary incontinence
  • Reconstructive urology
  • Men’s health