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Artificial urinary sphincter

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https://www.readbyqxmd.com/read/29332254/comparison-of-adjustable-continence-therapy-periurethral-balloons-and-artificial-urinary-sphincter-in-female-patients-with-stress-urinary-incontinence-due-to-intrinsic-sphincter-deficiency
#1
Lucas Freton, Lauranne Tondut, Isabelle Enderle, Juliette Hascoet, Andrea Manunta, Benoit Peyronnet
INTRODUCTION AND HYPOTHESIS: The objective was to compare the outcomes of the ACT® device with those of the artificial urinary sphincter (AUS) AMS 800 in the treatment of stress urinary incontinence (SUI) due to sphincter deficiency in women. METHODS: All the women who underwent surgical treatment for SUI due to intrinsic sphincter deficiency from 2007 to 2017 were included in a single-center retrospective study. The primary endpoint was the functional outcome...
January 13, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29310634/artificial-urinary-sphincter-implantation-an-important-component-of-complex-surgery-for-urinary-tract-reconstruction-in-patients-with-refractory-urinary-incontinence
#2
Fan Zhang, Limin Liao
BACKGROUND: We review our outcomes and experience of artificial urinary sphincter implantation for patients with refractory urinary incontinence from different causes. METHODS: Between April 2002 and May 2017, a total of 32 patients (median age, 40.8 years) with urinary incontinence had undergone artificial urinary sphincter placement during urinary tract reconstruction. Eighteen patients (56.3%) were urethral injuries associated urinary incontinence, 9 (28.1%) had neurogenic urinary incontinence and 5 (15...
January 8, 2018: BMC Urology
https://www.readbyqxmd.com/read/29277656/unmasking-of-urinary-pubic-symphysis-fistula-upf-after-implantation-of-artificial-urinary-sphincter-in-prostate-cancer-survivors-user-beware-url-d-17-02187
#3
Arman A Kahokehr, Andrew C Peterson
OBJECTIVE: To describe the dramatic and rapid unmaking of Urinary pubic symphysis fistula and chronic osteomyelitis (UPF) following artificial urinary sphincter implantation (AUS). This has never been reported as UPF is usually an insidious sequelae of radiotherapy/energy ablation for prostate cancer (PCa). METHODS: We prospectively identified men who underwent rapid clinical decline due to UPF soon after AUS implantation at our institution in the previous 24 months...
December 22, 2017: Urology
https://www.readbyqxmd.com/read/29260638/advance-sling-use-decreasing-relative-to-artificial-urinary-sphincters
#4
Chad R Pusateri, Jack M Zuckerman
INTRODUCTION: To evaluate the percent of AdVance male sling usage relative to artificial urinary sphincters (AUS) over a 9 year period since its introduction in order to assess trends across the United States. MATERIALS AND METHODS: As a surrogate for procedures performed, we reviewed device utilization trends of the AdVance sling and AUS broken down by American Urological Association (AUA) section. ANOVA testing between years was used to determine purchasing trends with p values of < 0...
December 2017: Canadian Journal of Urology
https://www.readbyqxmd.com/read/29223493/comparison-of-adjuvant-radiation-therapy-before-or-after-artificial-urinary-sphincter-placement-a-multi-institutional-retrospective-analysis
#5
Kenneth J DeLay, Nora M Haney, Jason Chiang, Carrie Stewart, Faysal A Yafi, Kenneth Angermeier, Hadley Wood, Timothy Boone, Alex G Kavanagh, Matthew Gretzer, Stuart Boyd, Jeffrey C Loh-Doyle, Wayne J G Hellstrom
OBJECTIVE: To determine if the timing of radiation therapy on artificial urinary sphincter (AUS) impacts complication rates, revision rates, and number of pads per day after placement. METHODS: A retrospective review was conducted of men with prostate cancer who underwent AUS placement and radiation therapy between 1987 and 2016. RESULTS: Of 306 men, 292 (95.4%) received radiation before AUS placement (Group 1) and 14 (4.6%) received radiation after AUS placement (Group 2)...
December 6, 2017: Urology
https://www.readbyqxmd.com/read/29217348/urethral-pressure-controlled-balloon-refilling-or-balloon-change-for-artificial-sphincter-secondary-procedure
#6
B Maximilien, A Aublea, A Gillibert, C Delcourt, P Grise, J-N Cornu
OBJECTIVES: To report our experience of inflating or changing pressure balloon to treat recurrent urinary incontinence after AMS800® implantation instead of changing all the devices. PATIENTS AND METHODS: A retrospective study was conducted in a tertiary reference center between 2005 and 2015. All patients, treated by AMS800® implantation for post-prostatectomy urinary incontinence and whom balloon was subsequently changed or inflated, were included. Main clinical end point was the need for another surgery...
December 4, 2017: Progrès en Urologie
https://www.readbyqxmd.com/read/29217347/risky-business-adjusting-the-pressure-of-the-artificial-urinary-sphincter-reservoir
#7
B Peyronnet, X Gamé, D S Elliott
No abstract text is available yet for this article.
December 4, 2017: Progrès en Urologie
https://www.readbyqxmd.com/read/29191643/incidence-of-stress-urinary-incontinence-following-posterior-urethroplasty-for-radiation-induced-urethral-strictures
#8
Paul H Chung, Paige Esposito, Hunter Wessells, Bryan B Voelzke
OBJECTIVES: To identify the frequency of de novo SUI after posterior excision and primary anastomotic (EPA) urethroplasty in patients with radiation-induced urethral strictures (RIUS) and compare to patients with pelvic fracture urethral injuries (PFUI). METHODS: A retrospective review was conducted among patients who underwent successful posterior EPA urethroplasty between 2008 and 2016 for RIUS from prostate cancer or PFUI from blunt trauma. Only patients with an intact bladder neck on imaging were included...
November 27, 2017: Urology
https://www.readbyqxmd.com/read/29178540/can-time-to-failure-predict-the-faulty-component-in-artificial-urinary-sphincter-device-malfunctions
#9
David Y Yang, Brian J Linder, Adam R Miller, Laureano J Rangel, Daniel S Elliott
OBJECTIVE: Artificial urinary sphincter malfunctions can occur in any of the individual components. Preoperative identification of the malfunctioning component can be valuable for patient counseling and surgical planning. The optimal strategy for repair of failed artificial urinary sphincter components is debated given the relative rarity of the situation. The aim of the present study was to evaluate the relationship of time to failure with failed artificial urinary sphincter component and to compare our outcomes of specific component versus complete device replacement...
November 26, 2017: International Journal of Urology: Official Journal of the Japanese Urological Association
https://www.readbyqxmd.com/read/29174630/is-the-adjustable-transobturator-system-atoms%C3%A2-useful-for-the-treatment-of-male-urinary-incontinence-in-low-to-medium-volume-urological-centers
#10
M Manso, B Alexandre, T Antunes-Lopes, C Martins-da-Silva, F Cruz
INTRODUCTION: Urinary incontinence (UI) is a complication of radical prostatectomy (RP) and transurethral resection of the prostate (TURP). The gold-standard treatment is the artificial urinary sphincter, however, new treatments have been investigated. OBJECTIVE: To examine the outcome of an adjustable transobturator male system (ATOMS®) in men with UI after prostatic surgery in a low to medium volume continence center. MATERIALS AND METHODS: Twenty-five men with UI were implanted with ATOMS® system between 2012 and 2014...
November 21, 2017: Actas Urologicas Españolas
https://www.readbyqxmd.com/read/29174616/surgical-treatment-of-male-postprostatectomy-incontinence-current-concepts
#11
REVIEW
Alexander Kretschmer, Victor Nitti
CONTEXT: Radical prostatectomy is the most common reason for male stress urinary incontinence. There is still insecurity about its therapeutic management. OBJECTIVE: To evaluate current evidence regarding therapy of postprostatectomy incontinence (PPI). EVIDENCE ACQUISITION: In October 2017, a nonsystematic review of the literature published within the last 2 yr was performed using the PubMed/Medline database. In total, 58 articles were included in the current analysis...
November 22, 2017: European Urology Focus
https://www.readbyqxmd.com/read/29170788/-incontinence-after-radical-prostatectomy-male-sling-or-best-option-first
#12
REVIEW
J F Gerhard, M S Aragona, R Olianas
Postprostatectomy incontinence (PPI) is a rare complication of radical prostatectomy, and it may lead to severe limitations for the patient and loss of quality of life. Several different surgical options for the therapy of PPI are available and may be chosen depending on severity of incontinence, residual urethral sphincter function, and previous history of radiotherapy. Alternatives to artificial urinary sphincters which over the last few decades have represented the gold standard for treatment of PPI are fixed slings and adjustable devices...
November 23, 2017: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/29155193/is-removal-of-the-pressure-regulating-balloon-necessary-after-artificial-urinary-sphincter-cuff-erosion
#13
Alexander T Rozanski, Boyd R Viers, Nabeel A Shakir, Travis J Pagliara, Jeremy M Scott, Allen F Morey
OBJECTIVE: To characterize the risk of delayed infectious complications from retained pressure-regulating balloons (PRBs) after artificial urinary sphincter (AUS) cuff erosion. METHODS: From our database of 530 AUS cases between 2007 and 2016, we identified 40 total AUS cuff erosions. Twenty-four (60%) presented without evidence of gross device infection and underwent explant of cuff and pump without removal of the PRB. Space of Retzius (SoR) and high submuscular (HSM) balloon locations were analyzed to assess for ease of removal...
November 16, 2017: Urology
https://www.readbyqxmd.com/read/29154982/evaluating-success-rates-after-artificial-urinary-sphincter-placement-a-comparison-of-clinical-definitions
#14
Brian J Linder, Laureano J Rangel, Daniel S Elliott
OBJECTIVE: To assess success rates of primary artificial urinary sphincter implantation using various objective, subjective, or retreatment definitions. MATERIALS AND METHODS: We identified 309 male patients who underwent primary AUS placement at the Mayo Clinic from 2010-2016. Of those, 214 had not undergone repeat surgery, and were sent a mailed, 148/214 (69.2%) responded. Eleven definitions of success were evaluated among responders. Associations between the definitions and patient-reported success were assessed via logistic regression and c-statistic...
November 15, 2017: Urology
https://www.readbyqxmd.com/read/29144953/re-a-systematic-approach-to-the-evaluation-and-management-of-the-failed-artificial-urinary-sphincter
#15
Alan J Wein
No abstract text is available yet for this article.
December 2017: Journal of Urology
https://www.readbyqxmd.com/read/29144629/single-perineal-incision-placement-of-artificial-urinary-sphincter-with-cadaveric-correlation-of-sub-dartos-pump-placement
#16
Cooper R Benson, Hajar I Ayoub, O Lenaine Westney
PURPOSE: We present a novel AUS implantation technique using a single perineal incision for single device placement or in combination with an inflatable penile prosthesis (IPP). Urinary and sexual dysfunction following the management of prostate cancer has a significant impact on the quality of life of our patients. While there are marginal changes in the prosthetic devices, we strive to reduce post-operative morbidity while maximizing efficacy. MATERIALS AND METHODS: We retrospectively reviewed the outcomes of 6 patients who underwent single perineal incision placement of a virgin AUS in 2014, 3 with simultaneous IPP placement...
November 19, 2017: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/29129780/prior-radiation-therapy-decreases-time-to-idiopathic-erosion-of-artificial-urinary-sphincter-a-multi-institutional-analysis
#17
Melissa R Kaufman, Douglas F Milam, Niels V Johnsen, Mario A Cleves, Joshua A Broghammer, William O Brant, LeRoy A Jones, Jeffrey D Brady, Martin S Gross, Gerard D Henry
PURPOSE: Substantial controversy and conflicting data exist regarding device survival of the artificial urinary sphincter (AUS) in patients with prior radiation therapy. Herein we present data from a multi-institutional analysis examining the effect of prior radiation for prostate cancer on device survival. MATERIALS AND METHODS: A database was compiled of AUS cuff erosion patients including demographic and comorbid patient characteristics, functional analyses, and interventions...
November 9, 2017: Journal of Urology
https://www.readbyqxmd.com/read/29122320/re-evaluating-the-role-of-postoperative-oral-antibiotic-administration-in-artificial-urinary-sphincter-and-inflatable-penile-prosthesis-explantation-a-nationwide-analysis
#18
https://www.readbyqxmd.com/read/29122319/author-reply-re-evaluating-the-role-of-postoperative-oral-antibiotic-administration-in-artificial-urinary-sphincter-and-inflatable-penile-prosthesis-explantation-a-nationwide-analysis
#19
Melanie A Adamsky, William R Boysen, Roger R Dmochowski, Gregory T Bales, Joshua A Cohn
No abstract text is available yet for this article.
November 6, 2017: Urology
https://www.readbyqxmd.com/read/29118538/utilization-of-penile-prosthesis-and-male-incontinence-prosthetics-in-saudi-arabia
#20
Amjad Alwaal, Ahmad J Al-Sayyad
Background: Erectile dysfunction is a prevalent disease affecting over 50% of men between the ages of 40 and 70 years. Penile prosthesis represents the end of the line treatment when other less invasive therapies fail or are contraindicated. Male stress urinary incontinence can significantly diminish quality of life and lead to embarrassment and social withdrawal. Surgical therapies, such as male urethral slings and artificial urinary sphincters (AUS), are considered effective and safe treatments for male stress incontinence...
October 2017: Urology Annals
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