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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 Complications: Risk Factors, Workup, and Clinical Approach
Roger K Khouri1, Nicolas M Ortiz2, Benjamin M Dropkin1
1Department of Urology, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390-9110, USA.
Current Urology Reports
|March 29, 2021
Summary
Artificial urinary sphincter (AUS) complications can arise from various factors. Identifying these risks and employing a systematic diagnostic and management approach is crucial for patient outcomes.
Area of Science:
- Urology
- Medical Devices
Background:
- Artificial urinary sphincter (AUS) implantation is a primary treatment for stress urinary incontinence (SUI).
- Complications, both minor and major, can occur post-implantation.
- Understanding risk factors is key to mitigating adverse events.
Purpose of the Study:
- To identify established risk factors for complications following artificial urinary sphincter (AUS) insertion.
- To present a systematic algorithm for the diagnosis and management of AUS complications.
Main Methods:
- Review of established risk factors for AUS complications.
- Presentation of a diagnostic and management algorithm.
Main Results:
- Key risk factors identified include catheterization, transurethral resection of the prostate (TURP), pelvic radiation, urethroplasty, anticoagulation, cardiovascular disease, diabetes mellitus, frailty index, hypertension, low albumin, and low testosterone.
- A systematic approach to diagnosis and management of both early and late complications is outlined.
- Proactive consideration of patient-specific risk factors can aid in complication prevention.
Conclusions:
- A thorough understanding of potential AUS complications is essential for urologists.
- Effective management of complications can restore quality of life for men with SUI.
- Systematic diagnosis and management strategies improve patient outcomes.
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