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Related Experiment Video

Updated: Apr 7, 2026

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
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Long-term Artificial Urinary Sphincter Outcomes Following a Prior Rectourethral Fistula Repair.

John Patrick Selph1, Ramiro Madden-Fuentes1, Andrew C Peterson1

  • 1Division of Urologic Surgery, Department of Surgery, Duke University Medical Center, Durham, NC.

Urology
|July 5, 2015
PubMed
Summary

Artificial urinary sphincter (AUS) implantation following rectourethral fistula (RUF) repair shows favorable long-term outcomes. Patients experienced no increased complication rates compared to primary AUS implantation.

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Area of Science:

  • Urology
  • Reconstructive Surgery

Background:

  • Rectourethral fistula (RUF) is a challenging complication, often requiring surgical repair.
  • Stress urinary incontinence (SUI) can persist after RUF repair, necessitating further treatment.

Purpose of the Study:

  • To evaluate the long-term outcomes of artificial urinary sphincter (AUS) implantation in patients who previously underwent successful RUF repair.
  • To assess the safety and efficacy of AUS placement as a secondary treatment for SUI post-RUF repair.

Main Methods:

  • Retrospective review of 6 patients who received AUS implantation after RUF repair between 2006 and 2012.
  • Analysis of preoperative and postoperative data including voiding diaries, pad weight, operative details, and complication rates.

Main Results:

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  • All 6 patients had successful RUF repair and subsequent AUS implantation with no intraoperative complications.
  • Mean follow-up after AUS placement was 43.5 months, with no device revisions or removals due to mechanical failure, infection, or erosion.
  • All patients reported ≤1 pad per day post-AUS implantation, with no recurrence of RUF or new fecal incontinence.

Conclusions:

  • Artificial urinary sphincter (AUS) implantation is a safe and effective treatment for stress urinary incontinence following rectourethral fistula (RUF) repair.
  • Outcomes and complication rates for secondary AUS placement after RUF repair are comparable to primary AUS implantation.