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Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
Published on: June 16, 2022
Urodynamic parameters evolution after artificial urinary sphincter implantation for post-radical prostatectomy
Tala Al Afraa1, Lysanne Campeau, Wally Mahfouz
1Department of Urology, Jewish General Hospital, McGill University, Montreal, Quebec, Canada.
The Canadian Journal of Urology
|June 28, 2011
Summary
Artificial urinary sphincter (AUS) implantation improved urodynamic parameters in men with post-prostatectomy incontinence and bladder dysfunction. Mild bladder abnormalities did not prevent successful AUS outcomes for stress urinary incontinence (SUI).
Area of Science:
- Urology
- Urogynecology
- Surgical Innovation
Background:
- Post-prostatectomy incontinence often presents with detrusor overactivity (DO) and/or reduced bladder compliance.
- Urodynamic assessment is crucial before artificial urinary sphincter (AUS) implantation.
Purpose of the Study:
- To evaluate changes in urodynamic parameters after AUS implantation in patients with post-radical prostatectomy (RP) stress urinary incontinence (SUI) and pre-existing bladder dysfunction.
Main Methods:
- Retrospective review of 16 patients with SUI post-RP and urodynamic bladder abnormalities.
- Comparison of urodynamic parameters before and after AUS implantation.
Main Results:
- Significant improvements observed in bladder capacity (p=0.05) and compliance (p=0.03) post-AUS.
- A decrease in detrusor overactivity (DO) from 50% to 25% was noted.
- Mean pad usage reduced from 5.7 to 1 pad per day.
Conclusions:
- Preoperative urodynamic abnormalities, including mild bladder dysfunction, improved following AUS implantation.
- Mild bladder dysfunction should not be considered a contraindication for AUS placement in SUI post-RP patients.
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