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Updated: May 23, 2025

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Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
Published on: August 14, 2019
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Next-generation Solutions: Are Patients Ready for Electronic Artificial Urinary Sphincters for Male Incontinence?
Marc Kidess1, Troya Ivanova1, Julian Hermans1
1Department of Urology, University Hospital of Munich, Munich, Germany.
European Urology Open Science
|March 11, 2025
Summary
Patient interest in electronic artificial urinary sphincters (eAUS) is high, particularly among younger, tech-savvy individuals. Addressing concerns about technical malfunctions is key for eAUS adoption in urology care.
Area of Science:
- Urology
- Medical Devices
- Digital Health
Background:
- Robot-assisted radical prostatectomy (RP) has advanced urology.
- Emerging digital treatment options for stress urinary incontinence (SUI) are being developed.
- Electronic artificial urinary sphincters (eAUS) represent a new frontier in SUI management.
Purpose of the Study:
- To assess patient willingness to adopt an electronic artificial urinary sphincter (eAUS).
- To identify patient concerns regarding potential eAUS technology.
- To evaluate the impact of demographics and technology use on eAUS interest.
Main Methods:
- Anonymous survey distributed to patients with AUS implants for post-RP SUI.
- Data collected on demographics, current AUS satisfaction, technology use, eAUS interest, and concerns.
- Statistical analysis performed using SPSS with significance at p < 0.05.
Main Results:
- High satisfaction reported with current AUS devices (79.8% satisfied).
- 60.4% expressed interest in eAUS, with higher interest among younger and daily technology users.
- Prevalent concerns include system malfunction (66.4%), connection loss (65.9%), and battery issues (60.0%).
Conclusions:
- Significant patient interest exists for eAUS, especially among tech-savvy demographics.
- Addressing technical concerns is critical for widespread eAUS acceptance.
- Patient apprehension regarding technological malfunctions may exceed medical concerns.
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