Multicenter Analysis of Long-Term Outcomes of Artificial Urinary Sphincter Surgery After Urethroplasty
Year: 2025
Type: article
Study design: Observational Study
Abstract: PURPOSE: The artificial urinary sphincter (AUS) is the gold standard for male stress urinary incontinence. There is limited and conflicting evidence examining outcomes in AUS insertion after urethroplasty, particularly whether and how urethroplasty techniques affect them. We evaluated complications of AUS insertion after urethroplasty in a multi-institutional cohort. We hypothesize that complications occur at higher rates and vary between transecting and nontransecting urethroplasty. MATERIALS AND METHODS: We retrospectively reviewed patients who underwent AUS after urethroplasty at 15 institutions. Demographic and clinical variables were analyzed. Urethroplasties were categorized as transecting or nontransecting. Long-term complications included AUS infection, erosion, and mechanical failure. RESULTS: = .004) also correlated to risk of device explantation. CONCLUSIONS: Risk of experiencing AUS complications is higher in patients with transecting urethroplasty compared with the nontransecting group. Nontransecting urethroplasty may be advisable if a subsequent need for AUS is anticipated.
Source: The Journal of Urology
Authors: Meghan F. Davis, Dmitriy Nikolavsky, Andre G. Cavalcanti, Brian J. Flynn, Reynaldo G. Gomez, Jeff Loh-Doyle, Stuart D. Boyd, Akio Horiguchi, Matthias D. Hofer, Margit Fisch, Roland Dahlem, Francisco E. Martins, Felix Campos-Juanatey, Paul J. Rusilko, Henriette Veiby Holm, Jay Simhan, Javier C. Angulo, Tim A. Ludwig, Jose O. Bernal, Margaret Higgins, Sasha Vereecken, Josh Sterling, Erin K. Hays, Peter G. Kolyvas, Alexander Stanisic, Juan F. Dorado, Krishnan Venkatesan
Institutions: Georgetown University, MedStar Health, Upstate University Hospital, Universidade Federal do Estado do Rio de Janeiro, University of Colorado Anschutz, Hospital del Trabajador, University of Southern California, USC Norris Comprehensive Cancer Center, National Defense Medical College Hospital, National Defense Medical College, Urology San Antonio, University Medical Center Hamburg-Eppendorf, University of Lisbon, Hospital de Santa Maria, Universidad de Cantabria, Marqués de Valdecilla University Hospital, Instituto de Investigación Marqués de Valdecilla, UPMC Health System, University of Pittsburgh Medical Center, Oslo University Hospital, Universidad Europea de Madrid, Clínica INDISA, Northwestern University
Language: English
Subfield: Urology
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $3,000
OpenAlex ID: W4414600053