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Abstract

Volume 22, Issue 1 (January 2020) 22, 45–50; 10.4103/aja.aja_128_19

Artificial urinary sphincter surgery in the special populations: neurological, revision, concurrent penile prosthesis and female stress urinary incontinence groups

Eric Chung1,2,3

1 AndroUrology Centre, Brisbane, QLD 4000, Australia
    2 University of Queensland, Princess Alexandra Hospital, Brisbane, QLD 4000, Australia
    3 Macquarie University Hospital, Sydney, NSW 2109, Australia

Correspondence: Dr. E Chung (ericchg@hotmail.com)

29-Nov-2019

Abstract

The artificial urinary sphincter (AUS) remains the standard of care in men with severe stress urinary incontinence (SUI) following prostate surgery and radiation. While the current AUS provides an effective, safe, and durable treatment option, it is not without its limitations and complications, especially with regard to its utility in some “high-risk” populations. This article provides a critical review of relevant publications pertaining to AUS surgery in specific high-risk groups such as men with spinal cord injury, revision cases, concurrent penile prosthesis implant, and female SUI. The discussion of each category includes a brief review of surgical challenge and a practical action-based set of recommendations. Our increased understandings of the pathophysiology of various SUI cases coupled with effective therapeutic strategies to enhance AUS surgery continue to improve clinical outcomes of many patients with SUI.
    
    Keywords: artificial urinary sphincter; female stress incontinence; penile prosthesis implant; revision surgery; spinal cord injury; urinary incontinence

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