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Troubleshooting and Optimizing Outcomes After Artificial Urinary Sphincter

  • Gillian Stearns
  • Jaspreet S. SandhuEmail author
Chapter

Abstract

Artificial urinary sphincter remains the gold standard for treatment of male stress urinary incontinence. However, complications may arise that necessitate prompt evaluation and potential treatment. Recognition of common concerns in both the immediate postoperative and long-term settings may help in improved patient care as well as patient satisfaction with the device.

Keywords

Artificial urinary sphincter Complications Troubleshooting Stress urinary incontinence 

References

  1. 1.
    Gousse AE, Madjar S, Lambert MM, Fishman IJ. Artificial urinary sphincter for post-prostatectomy incontinence: long-term subjective results. J Urol. 2001;166(5):1755–8.CrossRefPubMedGoogle Scholar
  2. 2.
    Clemens JQ, Schuster TG, Konnak JW, McGuire EJ, Faerber GJ. Revision rate after artificial urinary sphincter implantation for incontinence after radical prostatectomy: actuarial analysis. J Urol. 2001;166(4):1372–5.CrossRefPubMedGoogle Scholar
  3. 3.
    Lai HH, Hsu EI, Teh BS, Butler EB, Boone TB. 13 years of experience with artificial urinary sphincter implantation at Baylor College of Medicine. J Urol. 2007;177(3):1021–5.CrossRefPubMedGoogle Scholar
  4. 4.
    Elliott DS, Barrett DM. Mayo Clinic long-term analysis of the functional durability of the AMS 800 artificial urinary sphincter: a review of 323 cases. J Urol. 1998;159(4):1206–8.CrossRefPubMedGoogle Scholar
  5. 5.
    Bryan DE, Mulcahy JJ, Simmons GR. Salvage procedure for infected noneroded artificial urinary sphincters. J Urol. 2002;168(6):2464–6.CrossRefPubMedGoogle Scholar
  6. 6.
    Sandhu JS. Management of complications and residual symptoms in men with an artificial urinary sphincter. J Urol. 2014;192(2):303–4.CrossRefPubMedGoogle Scholar
  7. 7.
    Wolf Jr JS, Bennett CJ, Dmochowski RR, Hollenbeck BK, Pearle MS, Schaeffer AJ, Urologic Surgery Antimicrobial Prophylaxis Best Practice Policy Panel. Best practice policy statement on urologic surgery antimicrobial prophylaxis. J Urol. 2008;179(4):1379–90.CrossRefPubMedGoogle Scholar
  8. 8.
    Brant WO, Erickson BA, Elliott SP, Powell C, Alsikafi N, McClung C, Myers JB, Voelzke BB, Smith 3rd TG, Broghammer JA. Risk factors for erosion of artificial urinary sphincters: a multicenter prospective study. Urology. 2014;84(4):934–8.CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Seideman CA, Zhao LC, Hudak SJ, Mierzwiak J, Adibi M, Morey AF. Is prolonged catheterization a risk factor for artificial urinary sphincter cuff erosion? Urology. 2013;82(4):943–6.CrossRefPubMedGoogle Scholar
  10. 10.
    Webster GD, Sherman ND. Management of male incontinence following artificial urinary sphincter failure. Curr Opin Urol. 2005;15(6):386–90.CrossRefPubMedGoogle Scholar
  11. 11.
    Raj GV, Peterson AC, Toh KL, Webster GD. Outcomes following erosions of the artificial urinary sphincter. J Urol. 2006;175(6):2186–90.CrossRefPubMedGoogle Scholar
  12. 12.
    Simhan J, Morey AF, Singla N, Tausch TJ, Scott JF, Lemack GE, Roehrborn CG. 3.5 cm Artificial urinary sphincter cuff erosion occurs predominantly in irradiated patients. J Urol. 2015;193(2):593–7.CrossRefPubMedGoogle Scholar
  13. 13.
    Rozanski AT, Tausch TJ, Ramirez D, Simhan J, Scott JF, Morey AF. Immediate urethral repair during explantation prevents stricture formation after artificial urinary sphincter cuff erosion. J Urol. 2014;192(2):442–6.CrossRefPubMedGoogle Scholar
  14. 14.
    Guralnick ML, Miller E, Toh KL, Webster GD. Transcorporal artificial urinary sphincter cuff placement in cases requiring revision for erosion and urethral atrophy. J Urol. 2002;167(5):2075–8.CrossRefPubMedGoogle Scholar
  15. 15.
    Smith PJ, Hudak SJ, Scott JF, Zhao LC, Morey AF. Transcorporal artificial urinary sphincter cuff placement is associated with a higher risk of postoperative urinary retention. Can J Urol. 2013;20(3):6773–7.PubMedGoogle Scholar
  16. 16.
    Rahman NU, Minor TX, Deng D, Lue TF. Combined external urethral bulking and artificial urinary sphincter for urethral atrophy and stress urinary incontinence. BJU Int. 2005;95(6):824–6.CrossRefPubMedGoogle Scholar
  17. 17.
    Hudak SJ, Morey AF. Impact of 3.5 cm artificial urinary sphincter cuff on primary and revision surgery for male stress urinary incontinence. J Urol. 2011;186(5):1962–6.CrossRefPubMedGoogle Scholar
  18. 18.
    Lai HH, Boone TB. Complex artificial urinary sphincter revision and reimplantation cases--how do they fare compared to virgin cases? J Urol. 2012;187(3):951–5.CrossRefPubMedGoogle Scholar
  19. 19.
    Furlow WL, Barrett DM. Recurrent or persistent urinary incontinence in patients with the artificial urinary sphincter: diagnostic considerations and management. J Urol. 1985;133(5):792–5.PubMedGoogle Scholar
  20. 20.
    Chung E, Cartmill R. Diagnostic challenges in the evaluation of persistent or recurrent urinary incontinence after artificial urinary sphincter (AUS) implantation in patients after prostatectomy. BJU Int. 2013;112 Suppl 2:32–5.CrossRefGoogle Scholar
  21. 21.
    Leach GE, Trockman B, Wong A, Hamilton J, Haab F, Zimmern PE. Post-prostatectomy incontinence: urodynamic findings and treatment outcomes. J Urol. 1996;155(4):1256–9.CrossRefPubMedGoogle Scholar
  22. 22.
    Chung DE, Dillon B, Kurta J, Maschino A, Cronin A, Sandhu JS. Detrusor underactivity is prevalent after radical prostatectomy: a urodynamic study including risk factors. Can Urol Assoc J. 2013;7(1-2):E33–7Google Scholar
  23. 23.
    Thiruchelvam N, Cruz F, Kirby M, Tubaro A, Chapple C, Sievert KD. A review of detrusor overactivity and the overactive bladder after radical prostate cancer treatment. BJU Int Forthcoming 2015Google Scholar
  24. 24.
    Sandhu JS, Maschino AC, Vickers AJ. The surgical learning curve for artificial urinary sphincter procedures compared to typical surgeon experience. Eur Urol. 2011;60(6):1285–90.CrossRefPubMedPubMedCentralGoogle Scholar
  25. 25.
    Venn SN, Greenwell TJ, Mundy AR. The long-term outcome of artificial urinary sphincters. J Urol. 2000;164:702–6.CrossRefPubMedGoogle Scholar
  26. 26.
    AMS800 UrinaryControl Systemfor Male, Female and Pediatric Patients: Operating Room Manual. American Medical Systems, Inc; 2014Google Scholar
  27. 27.
    Brucker BM, Demirtas A, Fong E, Kelly C, Nitti VW. Artificial urinary sphincter revision: the role of ultrasound. Urology. 2013;82(6):1424–8.CrossRefPubMedGoogle Scholar
  28. 28.
    Cefalu CA, Deng X, Zhao LC, Scott JF, Mehta S, Morey AF. Safety of the “drain and retain” option for defunctionalized urologic prosthetic balloons and reservoirs during artificial urinary sphincter and inflatable penile prosthesis revision surgery: 5-year experience. Urology. 2013;82(6):1436–9.CrossRefPubMedGoogle Scholar
  29. 29.
    Köhler TS, Benson A, Ost L, Wilson SK, Brant WO. Intentionally retained pressure-regulating balloon in artificial urinary sphincter revision. J Sex Med. 2013;10(10):2566–70.CrossRefPubMedGoogle Scholar
  30. 30.
    Beaugerie A, Phé V, Munbauhal G, Chartier-Kastler E, Mozer P. Artificial urinary sphincter AMS 800™ in males--can we explain residual leaks when sitting? J Urol. 2014;192(2):483–7.CrossRefPubMedGoogle Scholar
  31. 31.
    Elliott SP, Meng MV, Elkin EP, McAninch JW, Duchane J, Carroll PR, CaPSURE Investigators. Incidence of urethral stricture after primary treatment for prostate cancer: data From CaPSURE. J Urol. 2007;178(2):529–34.CrossRefPubMedGoogle Scholar
  32. 32.
    Sandhu JS, Gotto GT, Herran LA, Scardino PT, Eastham JA, Rabbani F. Age, obesity, medical comorbidities and surgical technique are predictive of symptomatic anastomotic strictures after contemporary radical prostatectomy. J Urol. 2011;185(6):2148–52.CrossRefPubMedGoogle Scholar
  33. 33.
    Weissbart SJ, Chughtai B, Elterman D, Sandhu JS. Management of anastomotic stricture after artificial urinary sphincter placement in patients who underwent salvage prostatectomy. Urology. 2013;82(2):476–9.CrossRefPubMedGoogle Scholar
  34. 34.
    Mark S, Pérez LM, Webster GD. Synchronous management of anastomotic contracture and stress urinary incontinence following radical prostatectomy. J Urol. 1994;151(5):1202–4.PubMedGoogle Scholar
  35. 35.
    Linder BJ, de Cogain M, Elliott DS. Long-term device outcomes of artificial urinary sphincter reimplantation following prior explantation for erosion or infection. J Urol. 2014;191(3):734–8.CrossRefPubMedGoogle Scholar
  36. 36.
    Wang R, McGuire EJ, He C, Faerber GJ, Latini JM. Long-term outcomes after primary failures of artificial urinary sphincter implantation. Urology. 2012;79(4):922–8.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Department of UrologyUniversity of VermontBurlingtonUSA
  2. 2.Department of Surgery, Urology ServiceMemorial Sloan Kettering Cancer CenterNew YorkUSA

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