Skip to main content
SpringerLink
Log in
Book cover

Urinary Dysfunction in Prostate Cancer pp 93–99Cite as

Troubleshooting and Optimizing Outcomes After Artificial Urinary Sphincter

  • Chapter
  • First Online:

  • 547 Accesses

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.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   69.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   89.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   99.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  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.

    Article  CAS  PubMed  Google Scholar 

  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.

    Article  CAS  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  CAS  PubMed  Google Scholar 

  5. Bryan DE, Mulcahy JJ, Simmons GR. Salvage procedure for infected noneroded artificial urinary sphincters. J Urol. 2002;168(6):2464–6.

    Article  PubMed  Google Scholar 

  6. Sandhu JS. Management of complications and residual symptoms in men with an artificial urinary sphincter. J Urol. 2014;192(2):303–4.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  PubMed Central  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  10. Webster GD, Sherman ND. Management of male incontinence following artificial urinary sphincter failure. Curr Opin Urol. 2005;15(6):386–90.

    Article  PubMed  Google Scholar 

  11. Raj GV, Peterson AC, Toh KL, Webster GD. Outcomes following erosions of the artificial urinary sphincter. J Urol. 2006;175(6):2186–90.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    CAS  PubMed  Google Scholar 

  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.

    Article  Google Scholar 

  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.

    Article  CAS  PubMed  Google Scholar 

  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):E33–7

    Google Scholar 

  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 2015

    Google Scholar 

  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.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Venn SN, Greenwell TJ, Mundy AR. The long-term outcome of artificial urinary sphincters. J Urol. 2000;164:702–6.

    Article  CAS  PubMed  Google Scholar 

  26. AMS800 UrinaryControl Systemfor Male, Female and Pediatric Patients: Operating Room Manual. American Medical Systems, Inc; 2014

    Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    CAS  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Urology, University of Vermont, Burlington, VT, USA

    Gillian Stearns M.D.

  2. Department of Surgery, Urology Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA

    Jaspreet S. Sandhu M.D.

Authors
  1. Gillian Stearns M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jaspreet S. Sandhu M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jaspreet S. Sandhu M.D. .

Editor information

Editors and Affiliations

  1. Department of Surgery, Urology Service, Memorial Sloan Kettering Cancer Center Department of Surgery, Urology Service, New York, New York, USA

    Jaspreet S. Sandhu

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Stearns, G., Sandhu, J.S. (2016). Troubleshooting and Optimizing Outcomes After Artificial Urinary Sphincter. In: Sandhu, J. (eds) Urinary Dysfunction in Prostate Cancer. Springer, Cham. https://doi.org/10.1007/978-3-319-23817-3_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-23817-3_6

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-23816-6

  • Online ISBN: 978-3-319-23817-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation