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Updated: Feb 2, 2026
03:25
Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
Published on: June 16, 2022
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Artificial urinary sphincter revision with Quick Connects® versus suture-tie connectors: does technique make a
Jack R Andrews1, Brian J Linder1, Joseph A Scales1
1Department of Urology, Mayo Clinic, Rochester, MN, USA.
Turkish Journal of Urology
|November 29, 2018
Summary
Quick-Connects (QC) are safe and effective for artificial urinary sphincter (AUS) revisions, showing no increased risk of failure compared to traditional suture-tied connections. This study supports QC use in AUS mechanical revisions.
Area of Science:
- Urology
- Biomedical Engineering
- Medical Device Technology
Background:
- Artificial urinary sphincter (AUS) implantation is a common treatment for urinary incontinence.
- Mechanical failures necessitate revision surgeries, where connection techniques can influence outcomes.
- Evaluating different connection methods is crucial for optimizing AUS revision procedures.
Purpose of the Study:
- To assess the characteristics of mechanical failures in artificial urinary sphincters (AUS).
- To compare the outcomes of single-component AUS revisions using suture-tied connections versus Quick-Connects (QC).
Main Methods:
- A retrospective review of 46 patients undergoing single-component AUS revisions between 1983 and 2011.
- Categorization of revision techniques into suture-tie (pre-1996) and QC (post-1996).
- Evaluation of device success and potential associations with revision surgery, including connector type.
Main Results:
- 34 revisions used suture-tie connections, and 12 used QC.
- No statistically significant difference in 5-year device survival rates between suture-tie and QC (36% vs. 61%; p=0.85).
- QC revisions had zero device infections or repeat mechanical failures at the connector, unlike the suture-tie group (5 infections, 4 failures).
Conclusions:
- Quick-Connects (QC) demonstrate safety, efficiency, and reliability for single-component AUS revisions.
- No conclusive evidence links connector type to the overall risk of device failure in AUS revisions.
- The findings support the use of QC in AUS revision surgeries for mechanical failures.
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