Surgical Reconstruction of Urethral Injury After Artificial Urinary Sphincter Infection-Erosion
Although currently still the gold standard treatment for post-protatectomy urinary incontinence, the artificial urinary sphincter (AUS, AMS800) is an invasive procedure with an inherent risk for infection and erosion. Urethral injury results from AUS cuff infection-erosion, and may lead to urethral stricture. The data describing the types and success of urethral reconstruction after AUS cuff infection-erosion as well as the rates of successful AUS reimplantation in these patients are scanty.
In this chapter, we aim to outline what the scientific literature, and what we personally believe, are the factors that are useful and/or necessary to recognize in order to mitigate these risks, including both patient related factors and surgeon related factors. We also review the various options available for concomitant or staged urethral reconstruction after infection and/or erosion of the AUS cuff.
KeywordsMale Urethral injury Radiation Prostatectomy Artificial urinary sphincter Urinary incontinence Urethroplasty Reconstruction