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Artificial urinary sphincter

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https://www.readbyqxmd.com/read/28904901/artificial-urinary-sphincter
#1
REVIEW
William O Brant, Francisco E Martins
Although currently still the gold standard treatment for post-prostatectomy urinary incontinence, the artificial urinary sphincter (AUS) (AMS800) is an invasive procedure with associated risks factors. In this paper, we aim to outline what the scientific literature and what we personally believe are the factors that are useful and/or necessary to mitigate these risks, including both patient factors and surgeon factors. We also review special populations, including transcorporal (TC) AUS approach, AUS with inflatable penile prosthesis, AUS after male urethral sling, AUS erosion management, and AUS after orthotopic urinary diversion...
August 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/28904900/advance-male-sling
#2
REVIEW
Amanda S J Chung, Oscar A Suarez, Kurt A McCammon
The AdVance sling (American Medical Systems, Minnetonka, MN, United States of America) is a synthetic transobturator sling, which is a safe and effective minimally invasive treatment for mild to moderate stress urinary incontinence (SUI) in male patients. This article provides a step-by-step description of our technique for placement of the AdVance male sling, including details and nuances gained from surgical experience, advice for avoidance of complications and discussion on management of complications and sling failures...
August 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/28904899/virtue-quadratic-male-sling-for-stress-incontinence-surgical-guide-for-placement-and-delayed-revision
#3
REVIEW
Rachel S Rubin, Keith R Xavier, Eugene Rhee
The algorithm for surgical management of post prostatectomy incontinence classically includes male slings and artificial urinary sphincter (AUS) placement. The Virtue Quadratic Male Sling was designed to provide both urethral elevation and prepubic compression making it a viable option for a wider spectrum of incontinent men whose symptoms range from mild to severe. With a focus on two key steps of the surgery, (I) sling fixation (II) use of intraoperative retrograde leak point pressure (RLPP), this guide is intended to outline a safe and efficacious treatment for post-prostatectomy incontinence...
August 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/28892597/adult-male-stress-and-urge-urinary-incontinence-a-review-of-pathophysiology-and-treatment-strategies-for-voiding-dysfunction-in-men
#4
Eric Chung, Darren J Katz, Christopher Love
BACKGROUND: Male urinary incontinence adversely affects health-related quality of life and is associated with significant psychosexual and financial burden. The two most common forms of male incontinence are stress urinary incontinence (SUI) and overactive bladder (OAB) with concomitant urge urinary incontinence (UUI). OBJECTIVE: The objectives of this article are to briefly review the current understandings of the pathophysiological mechanisms in SUI and OAB/UUI, and offer a set of practical, action-based recommendations and treatment strategies...
September 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28888751/female-outlet-obstruction-after-anti-incontinence-surgery
#5
REVIEW
Henry Tran, Matthew Rutman
Numerous surgical options are available for management of stress urinary incontinence in women, including urethral bulking agents, pubo-vaginal slings, retropubic bladder neck suspensions, mid-urethral slings, and even artificial urinary sphincters. We discuss the incidence, etiology, diagnosis, evaluation, and management of bladder outlet obstruction (BOO) after anti-incontinence surgery in females. This problem presents with a wide range of symptoms. Urodynamic evaluation is not always diagnostic, but can be helpful...
September 6, 2017: Urology
https://www.readbyqxmd.com/read/28817873/re-outcomes-of-artificial-urinary-sphincter-placement-in-octogenarians
#6
Tomas L Griebling
No abstract text is available yet for this article.
September 2017: Journal of Urology
https://www.readbyqxmd.com/read/28794592/radiotherapy-is-associated-with-reduced-continence-outcomes-following-implantation-of-the-artificial-urinary-sphincter-in-men-with-post-radical-prostatectomy-incontinence
#7
Stephanie Guillaumier, Eskinder Solomon, Julie Jenks, Mahreen Pakzad, Rizwan Hamid, Jeremy Ockrim, Julian Shah, Tamsin Greenwell
OBJECTIVES: The objective of this study is to present the outcomes of men undergoing implantation of artificial urinary sphincter, after treatment for prostate cancer and also to determine the effect of radiotherapy on continence outcomes after artificial urinary sphincter (AUS) implantation. MATERIALS AND METHODS: A prospectively acquired database of all 184 patients having AUS insertion between 2002 and 2012 was reviewed, and demographic data, mode of prostate cancer treatment(s) before implantation, and outcome in terms of complete continence (pad free, leak free) were assessed...
July 2017: Urology Annals
https://www.readbyqxmd.com/read/28791230/contemporary-surgical-devices-for-male-stress-urinary-incontinence-a-review-of-technological-advances-in-current-continence-surgery
#8
REVIEW
Eric Chung
Male stress urinary incontinence (SUI) remains a debilitating condition that adversely impacts all domains of quality of life and is associated with significant social stigma and health economic burden. The incidence of post-prostatectomy urinary incontinence (PPI) depends on the definition of urinary incontinence and the length of patient follow up. In patients with persistent PPI following failure of conservative measures, surgical treatment is recommended although there is no published guideline on when surgery should be performed, and what the best surgical option is...
July 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/28791228/management-of-bladder-neck-stenosis-and-urethral-stricture-and-stenosis-following-treatment-for-prostate-cancer
#9
REVIEW
Helen L Nicholson, Yasser Al-Hakeem, Javier J Maldonado, Vincent Tse
The aim of this review is to examine all urethral strictures and stenoses subsequent to treatment for prostate cancer, including radical prostatectomy (RP), radiotherapy, high intensity focused ultrasound (HIFU) and cryotherapy. The overall majority respond to endoscopic treatment, including dilatation, direct visual internal urethrotomy (DVIU) or bladder neck incision (BNI). There are adjunct treatments to endoscopic management, including injections of corticosteroids and mitomycin C (MMC) and urethral stents, which remain controversial and are not currently mainstay of treatment...
July 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/28743562/robotic-assisted-laparoscopic-artificial-urinary-sphincter-and-mace-procedure-on-a-pediatric-patient
#10
Paulo Renato Marcelo Moscardi, Natalia Ballesteros, Abd-El-Rahman Abd-El-Barr, Mariarita Salvitti, Miguel Castellan
OBJECTIVE: To describe robotic-assisted laparoscopic artificial urinary sphincter (RAL-AUS) placement and a Malone antegrade continent enema (MACE) procedure on a 6-year-old girl. PATIENTS AND RESULTS: Our patient is a 6-year-old girl with myelomeningocele. She was totally incontinent of urine and chronic constipated despite aggressive bowel regimen. Preoperative workup included renal and bladder ultrasound showing normal findings. Video-urodynamics was also obtained showing low leak point pressure (25 cm H2O) with no reflux...
July 8, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28743177/traditional-suburethral-sling-operations-for-urinary-incontinence-in-women
#11
REVIEW
Haroon Rehman, Carlos A Bezerra, Homero Bruschini, June D Cody, Patricia Aluko
BACKGROUND: Stress urinary incontinence constitutes a significant health and economic burden to society. Traditional suburethral slings are one of the surgical operations used to treat women with symptoms of stress urinary incontinence. OBJECTIVES: To determine the effects of traditional suburethral slings on stress or mixed incontinence in comparison with other management options. SEARCH METHODS: We searched the Cochrane Incontinence Group Specialised Register (searched 3 June 2010) and the reference lists of relevant articles...
July 26, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28734482/editorial-comment-on-outcomes-of-urethroplasty-to-treat-urethral-strictures-arising-from-artificial-urinary-sphincter-erosions-and-rates-of-subsequent-device-replacement
#12
https://www.readbyqxmd.com/read/28723370/evaluation-and-management-of-postprostatectomy-incontinence-a-systematic-review-of-current-literature
#13
REVIEW
Alexander Kretschmer, Wilhelm Hübner, Jaspreet S Sandhu, Ricarda M Bauer
CONTEXT: Radical prostatectomy is the most common reason for male stress urinary incontinence. There is still uncertainty about its diagnostic and therapeutic management. OBJECTIVE: To evaluate current evidence regarding the diagnosis and therapy of postprostatectomy incontinence (PPI). EVIDENCE ACQUISITION: A systematic review of the literature was performed in October 2015 using the Medline database. EVIDENCE SYNTHESIS: Diagnosis and conservative treatment of PPI are currently mostly based on expert opinions...
August 2016: European Urology Focus
https://www.readbyqxmd.com/read/28709874/analysis-of-hospital-readmissions-after-prosthetic-urologic-surgery-in-the-united-states-nationally-representative-estimates-of-causes-costs-and-predictive-factors
#14
Filippo Pederzoli, Meera R Chappidi, Sarah Collica, Max Kates, Gregory A Joice, Nikolai A Sopko, Francesco Montorsi, Andrea Salonia, Trinity J Bivalacqua
BACKGROUND: The surgical treatment of urinary incontinence and erectile dysfunction by prosthetic devices has become part of urologic practice, although sparse data exist at a national level on readmissions and hospital costs. AIM: To assess causes and costs of early (≤30 days) and late (31-90 days) readmissions after implantation of penile prostheses (PPs), artificial urinary sphincters (AUSs), or PP + AUS. METHODS: Using the 2013 and 2014 US Nationwide Readmission Databases, sociodemographic characteristics, hospital costs, and causes of readmission were compared among PP, AUS and AUS + PP surgeries...
August 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/28709851/waves-of-change-national-trends-in-surgical-management-of-male-stress-incontinence
#15
Susan MacDonald, Marc Colaco, Ryan Terlecki
OBJECTIVE: To determine the trend in surgical management of male stress urinary incontinence (SUI) in the context of the rate of radical prostatectomy (RP) as reported by a national database. Traditionally, the artificial urinary sphincter (AUS) has been the gold standard, but the male sling represents a newer and popular alternative. Refinements in prostate surgery may reduce the incidence and degree of subsequent SUI. MATERIALS AND METHODS: A retrospective cross-sectional analysis was performed using the National Inpatient Survey database, which captures discharge data from inpatient and overnight admissions...
July 12, 2017: Urology
https://www.readbyqxmd.com/read/28681033/the-impact-of-incontinence-etiology-on-artificial-urinary-sphincter-outcomes
#16
Adam R Miller, Brian J Linder, Laureano J Rangel, David Y Yang, Daniel S Elliott
PURPOSE: To evaluate the impact of incontinence etiology on artificial urinary sphincter (AUS) device outcomes. MATERIALS AND METHODS: We identified 925 patients who underwent primary AUS placement from 1983 to 2011. The etiology of incontinence was categorized as radical prostatectomy alone, radical prostatectomy with radiation, benign prostate resection, and those with cryotherapy as a salvage prostate cancer treatment. Hazard regression and competing risk analyses were used to determine the association of the etiology of incontinence with device outcomes...
July 2017: Investigative and Clinical Urology
https://www.readbyqxmd.com/read/28674908/transperineal-reanastomosis-for-treatment-of-highly-recurrent-anastomotic-strictures-after-radical-retropubic-prostatectomy-extended-follow-up
#17
Victor Maximilian Schuettfort, Roland Dahlem, Luis Kluth, Daniel Pfalzgraf, Clemens Rosenbaum, Tim Ludwig, Margit Fisch, Christoph-Philip Reiss
OBJECTIVES: To re-evaluate safety and efficacy of transperineal reanastomosis (TPRA) as a viable therapeutic option in highly recurrent anastomotic strictures (AS) after radical retropubic prostatectomy (RRP). METHODS: Retrospective analysis by standardized questionnaire inquiring for recurrence of stricture, stress urinary incontinence (SUI), sexual function, satisfaction, and changes in quality of life (QoL) was performed in all patients undergoing TPRA. Validated questionnaires (ICIQ-UI, EQ-5D, and IPSS) were included...
July 3, 2017: World Journal of Urology
https://www.readbyqxmd.com/read/28673058/targeting-moderate-and-severe-male-stress-urinary-incontinence-with-adjustable-male-slings-and-the-perineal-artificial-urinary-sphincter-focus-on-perioperative-complications-and-device-explantations
#18
Alexander Kretschmer, Tanja Hüsch, Frauke Thomsen, Dominik Kronlachner, Alice Obaje, Ralf Anding, Tobias Pottek, Achim Rose, Roberto Olianas, Alexander Friedl, Wilhelm Hübner, Roland Homberg, Jesco Pfitzenmaier, Fabian Queissert, Carsten M Naumann, Carola Wotzka, Torben Hofmann, Roland Seiler, Axel Haferkamp, Ricarda M Bauer
PURPOSE: To analyze perioperative complications and postoperative explantation rates for selected readjustable male sling systems and the perineal single-cuff artificial urinary sphincter (AUS) in a large, contemporary, multi-institutional patient cohort. METHODS: Two hundred eighty-two male patients who underwent implantation between 2010 and 2012 in 13 participating institutions were included in the study (n=127 adjustable male sling [n=95 Argus classic, n=32 Argus T], n=155 AUS)...
June 2017: International Neurourology Journal
https://www.readbyqxmd.com/read/28624554/outcomes-of-urethroplasty-to-treat-urethral-strictures-arising-from-artificial-urinary-sphincter-erosions-and-rates-of-subsequent-device-replacement
#19
Sorena Keihani, Jason C Chandrapal, Andrew C Peterson, Joshua A Broghammer, Nathan Chertack, Sean P Elliott, Keith F Rourke, Nejd F Alsikafi, Jill C Buckley, Benjamin N Breyer, Thomas G Smith, Bryan B Voelzke, Lee C Zhao, William O Brant, Jeremy B Myers
OBJECTIVE: To evaluate the success of urethroplasty for urethral strictures arising after erosion of an artificial urinary sphincter (AUS) and rates of subsequent AUS replacement. PATIENTS AND METHODS: From 2009-2016, we identified patients from the Trauma and Urologic Reconstruction Network of Surgeons and several other centers. We included patients with urethral strictures arising from AUS erosion undergoing urethroplasty with or without subsequent AUS replacement...
June 15, 2017: Urology
https://www.readbyqxmd.com/read/28618684/re-the-impact-of-diabetes-mellitus-and-obesity-on-artificial-urinary-sphincter-outcomes-in-men
#20
Allen F Morey
No abstract text is available yet for this article.
July 2017: Journal of Urology
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