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Related Concept Videos

Disorders of the Urinary System01:20

Disorders of the Urinary System

298
The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
298
Urinary Bladder01:23

Urinary Bladder

655
The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
655

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Artificial Urinary Sphincter Complications: A Narrative Review.

Ryan L Frazier1, Marilyn E Jones1, Matthias D Hofer2

  • 1San Antonio Uniformed Services Health Education Consortium, Brooke Army Medical Center, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234, USA.

Journal of Clinical Medicine
|April 13, 2024
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Summary

Artificial urinary sphincter (AUS) implantation is the gold standard for male stress urinary incontinence. This review details common and rare complications of AUS placement, crucial for surgeons managing these patients.

Keywords:
artificial urinary sphinctercomplicationsprosthesis

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Area of Science:

  • Urology
  • Surgical Devices

Background:

  • Stress urinary incontinence (SUI) significantly impacts men's quality of life, often following urologic procedures like radical prostatectomy.
  • Artificial urinary sphincter (AUS) implantation is the established gold standard for managing male SUI.
  • Increasingly, general urologists, not just specialized prosthetic surgeons, are performing AUS implantations.

Purpose of the Study:

  • To review common and rare perioperative and postoperative complications associated with Artificial Urinary Sphincter (AUS) implantation.
  • To equip urologic surgeons with essential knowledge for managing patients with AUS devices, regardless of their implantation experience.

Main Methods:

  • Comprehensive literature review of reported complications from Artificial Urinary Sphincter (AUS) implantation.
  • Analysis of common and rare adverse events documented in urologic surgery literature.

Main Results:

  • The review synthesizes frequently encountered complications and less common but significant adverse events following AUS surgery.
  • Understanding these potential issues is vital for effective patient care and management.

Conclusions:

  • Familiarity with the spectrum of AUS complications is paramount for all urologic surgeons.
  • Proactive identification and management of complications ensure optimal outcomes for patients with artificial urinary sphincters.