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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
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.
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.
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