Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Urethral atrophy after artificial urinary sphincter placement: is cuff downsizing effective?

Amir Saffarian1, Kilian Walsh, Ian K Walsh

  • 1Department of Urology, University of California-Davis, Sacramento, California, USA.

The Journal of Urology
|January 25, 2003
PubMed
Summary

Cuff downsizing effectively treats recurrent incontinence from urethral atrophy after artificial urinary sphincter implantation. This simple procedure significantly improves patient satisfaction and continence, offering a reliable solution for post-surgical leakage.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Evaluation of surgical outcomes of nephron-sparing surgery in a leading hospital of an advanced nation.

JPMA. The Journal of the Pakistan Medical Association·2025
Same author

Fluency training in medical education: Improving competence in IV fluid therapy knowledge and skills.

MedEdPublish (2016)·2023
Same author

The psychological impact of adverse events on urology trainees.

Irish journal of medical science·2022
Same author

Strategies to maximise patient comfort during extracorporeal shockwave lithotripsy - A randomised controlled trial.

The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·2020
Same author

Evaluating mindfulness training for medical and PhD nursing students.

British journal of nursing (Mark Allen Publishing)·2019
Same author

Outcomes from the Introduction of a Combined Urology Outpatient Clinic.

Advances in urology·2019

Area of Science:

  • Urology
  • Medical Devices
  • Patient Outcomes

Background:

  • Recurrent incontinence following artificial urinary sphincter (AUS) implantation can be challenging.
  • Urethral atrophy is a known complication leading to AUS device failure.
  • Effective management strategies for post-AUS incontinence due to urethral atrophy are needed.

Purpose of the Study:

  • To evaluate the efficacy of cuff downsizing in patients with recurrent incontinence caused by urethral atrophy after AUS implantation.
  • To assess changes in incontinence parameters and patient satisfaction following cuff downsizing.

Main Methods:

  • A retrospective analysis of 17 patients treated for urethral atrophy with cuff downsizing over a 7-year period.
  • Cuff downsizing involved replacing the existing cuff with a 4 cm cuff within the false capsule.

Related Experiment Videos

  • Validated questionnaires assessed incontinence and satisfaction pre- and post-procedure.

    • Main Results:

    • Mean patient age was 70 years, with an average of 31 months post-primary sphincter implantation before atrophy.
    • Cuff downsizing significantly reduced daily pad usage (3.9 to 0.5), severe leakage episodes (5.4 to 2.1), and SEAPI scores (8.2 to 2.4).
    • Patient satisfaction increased dramatically from 15% to 80%; one patient required device removal due to infection.

    Conclusions:

    • Cuff downsizing is a simple and effective technique for restoring continence in patients with urethral atrophy.
    • The procedure leads to significant improvements in both objective continence parameters and subjective patient satisfaction.
    • This method offers a viable solution for managing recurrent incontinence post-AUS implantation.