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Related Experiment Video

Updated: Jul 31, 2025

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
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Synchronous Artificial Urinary Sphincter and Inflatable Penile Prosthesis Implantation: Short-Term Outcomes from a

Sarah E Sweigert1, Eric Chuang1, Parth M Patel1

  • 1Loyola University of Chicago, Chicago, Illinois.

Urology Practice
|May 5, 2023
PubMed
Summary

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Regional differences in corpora cavernosa morphology exist along the proximal to distal axis of the penis in adult Sprague Dawley rats.

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Targeting fibrosis in the treatment of lower urinary tract dysfunction.

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This summary is machine-generated.

Performing penile prosthesis (PP) and artificial urinary sphincter (AUS) implantation simultaneously increases readmission and complication risks compared to staged procedures. This study evaluates the safety of combined implantation for erectile dysfunction and incontinence after prostatectomy.

Area of Science:

  • Urology
  • Surgical Outcomes
  • Medical Device Implantation

Background:

  • Radical prostatectomy commonly leads to erectile dysfunction and stress urinary incontinence.
  • Surgical management options include penile prosthesis (PP) and artificial urinary sphincter (AUS) implantation.
  • The optimal timing for PP and AUS implantation (simultaneous vs. staged) remains debated.

Purpose of the Study:

  • To evaluate the safety and outcomes of performing simultaneous penile prosthesis (PP) and artificial urinary sphincter (AUS) implantation.
  • To compare complication rates and readmissions between synchronous and staged PP-AUS procedures.

Main Methods:

  • Retrospective analysis of adult males undergoing both PP and AUS implantation.
  • Utilized Healthcare Cost and Utilization Project (HCUP) databases (California and Florida).
Keywords:
erectile dysfunctionpenile prosthesisprostatic neoplasmsurinary incontinenceurinary sphincter, artificial

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  • Identified outcomes including 90-day readmissions, emergency room visits, and device/postoperative complications using ICD-9-CM and CPT codes.

    • Main Results:

    • Synchronous PP-AUS implantation showed significantly higher 90-day readmission rates (13.9% vs 7.2%, p <0.001).
    • Higher rates of device complications (6.1% vs 3.4%, p=0.021) and minor postoperative complications (8.89% vs 2.35%, p <0.001) were observed in the synchronous group.
    • No significant differences in major complications or 90-day emergency room visits were found between groups.

    Conclusions:

    • Simultaneous PP and AUS implantation is feasible but associated with increased risks.
    • Higher readmission rates and complication burdens suggest a staged approach may be preferable.
    • Findings support previous studies indicating potential drawbacks of combined PP-AUS procedures.