Related Experiment Video
Updated: Sep 17, 2025
03:25
Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
Published on: June 16, 2022
976
Urethral Stricture Associated With an Artificial Urethral Sphincter: A Case Report
Akira Tachibana1, Kazumasa Torimoto2, Daisuke Gotoh1
1Department of Urology Nara Medical University Kashihara Nara Japan.
IJU Case Reports
|July 3, 2025
Summary
Artificial urinary sphincter (AUS) implantation treats male stress urinary incontinence. A case study shows non-transecting urethroplasty successfully treated urethral stricture before AUS replacement, restoring continence.
Area of Science:
- Urology
- Surgical Innovation
Background:
- Artificial urinary sphincter (AUS) implantation is a primary treatment for moderate-to-severe stress urinary incontinence (SUI) in men.
- Urethral stricture is a potential complication following AUS implantation.
Purpose of the Study:
- To report a case of urethral stricture associated with an AUS.
- To evaluate the efficacy of non-transecting urethroplasty in managing this complication prior to AUS reimplantation.
Main Methods:
- A 64-year-old male with SUI post-prostatectomy received an AUS.
- Developed a 2mm pendulous urethral stricture 11 years later.
- Underwent implant removal, non-transecting anastomotic urethroplasty, and subsequent AUS reimplantation.
Main Results:
- Urethroscopy and urethrography confirmed a short urethral stricture.
- Non-transecting urethroplasty successfully resolved the stricture.
- AUS reimplantation 6 months later restored urinary continence.
Conclusions:
- Non-transecting urethroplasty is an effective technique for short urethral strictures in patients with AUS.
- This approach may improve outcomes for subsequent artificial urinary sphincter replacement.
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