Causes of Artificial Urinary Sphincter Failure and Strategies for Surgical Revision: Implications of Device Component Survival

Srivastava, Arnav; Joice, Gregory; Patel, Hiten D.; Manka, Madeleine; Sopko, Nikolai A.; Wright, E. James

doi:10.1016/j.euf.2018.02.014

Cited by 28 publications

(22 citation statements)

References 17 publications

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“…However, this did not prompt immediate revision, as the median time before revision was 26.5 months [8.8, 54] which is consistent with the existing literature (11,23,24).…”

Section: -Discussionsupporting

confidence: 83%

“…Almost half a century after its introduction, the prevalence and causes of male AUS revisions remain elusive (2,11,12). This contributes to hamper patients' information and preclude to shape prevention strategies aiming to improve the use of AUS in male patients.…”

Section: -Discussionmentioning

confidence: 99%

“…the cuff ( 14) vs. the PRB (11). These discrepancies in the literature could be due to the lack of standardized definitions for failures, retrospective nature of data collection resulting in information bias.…”

Section: -Discussionmentioning

confidence: 99%

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Prevalence and Risk Factors of Artificial Urinary Sphincter Revision in Nonneurological Male Patients

et al. 2021

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Liste des enseignants au 1er septembre 2019 à la Faculté de Médecine de Nice PROFESSEURS CLASSE EXCEPTIONNELLE M. BAQUÉ Patrick Anatomie -Chirurgie Générale (42.01) M. BERNARDIN Gilles Réanimation Médicale (48.02) Mme BLANC-PEDEUTOUR Florence Cancérologie -Génétique (47.02) M. BOILEAU Pascal Chirurgie Orthopédique et Traumatologique (50.02) M. DARCOURT Jacques Biophysique et Médecine Nucléaire (43.01) M. DRICI Milou-Daniel Pharmacologie Clinique (48.03) M. ESNAULT Vincent Néphrologie (52-03) M. FUZIBET Jean-Gabriel Médecine Interne (53.01) M. GILSON Éric Biologie Cellulaire (44.03) M. GUGENHEIM Jean Chirurgie Digestive (52.02) M. HASSEN KHODJA Reda Chirurgie Vasculaire (51.04) M. HÉBUTERNE Xavier Nutrition (44.04) M. HOFMAN Paul Anatomie et Cytologie Pathologiques (42.03) Mme ICHAI Carole Anesthésiologie et Réanimation Chirurgicale (48.01) M. LACOUR Jean-Philippe Dermato-Vénéréologie (50.03) M. LEFTHERIOTIS Georges Chirurgie vasculaire ; médecine vasculaire (51.04) M. MARQUETTE Charles-Hugo Pneumologie (51.01) M. MARTY Pierre Parasitologie et Mycologie (45.02) 5 M. MICHIELS Jean-François Anatomie et Cytologie Pathologiques (42.03) M. MOUROUX Jérôme Chirurgie Thoracique et Cardiovasculaire (51.03) Mme PAQUIS Véronique Génétique (47.04) M. PAQUIS Philippe Neurochirurgie (49.02) M. PRADIER Christian Épidémiologie, Économie de la Santé et Prévention (46.01) M. QUATREHOMME Gérald Médecine Légale et Droit de la Santé (46.03) M. RAUCOULES-AIMÉ Marc Anesthésie et Réanimation Chirurgicale (48.01) M. ROBERT Philippe Psychiatrie d'Adultes (49.03) M. SCHNEIDER Stéphane Nutrition (44.04) M. THYSS Antoine Cancérologie, Radiothérapie (47.02) M. TRAN Albert Hépato Gastro-entérologie (52.01) PROFESSEURS PREMIERE CLASSE Mme ASKENAZY-GITTARD Florence Pédopsychiatrie (49.04) M. BARRANGER Emmanuel Gynécologie Obstétrique (54.03) M. BÉRARD Étienne Pédiatrie (54.01) M. BONGAIN André Gynécologie-Obstétrique (54.03) Mme BREUIL Véronique Rhumatologie (50.01) M. CASTILLO Laurent O.R.L. (55.01) M. CHEVALLIER Patrick Radiologie et Imagerie Médicale (43.02) M. DE PERETTI Fernand Anatomie-Chirurgie Orthopédique (42.01) 6 M. FERRARI Émile Cardiologie (51.02) M. FERRERO Jean-Marc Cancérologie ; Radiothérapie (47.02) M. FONTAINE Denys Neurochirurgie (49.02) M. GIBELIN Pierre Cardiologie (51.02) M. HANNOUN-LEVI Jean-Michel Cancérologie ; Radiothérapie (47.02) M. LEVRAUT Jacques Médecine d'urgence (48.05) M. LONJON Michel Neurochirurgie (49.02) M. MOUNIER Nicolas Cancérologie, Radiothérapie (47.02) M. PADOVANI Bernard Radiologie et Imagerie Médicale (43.02) M. PASSERON Thierry Dermato-Vénéréologie (50-03) M. PICHE Thierry Gastro-entérologie (52.01) Mme RAYNAUD Dominique Hématologie (47.01) M. ROSENTHAL Éric Médecine Interne (53.01) M. STACCINI Pascal Biostatistiques et Informatique Médicale (46.04) M. THOMAS Pierre Neurologie (49.01) M. TROJANI Christophe Chirurgie Orthopédique et Traumatologique (50.02) PROFESSEURS DEUXIEME CLASSE Mme ALUNNI Véronique Médecine Légale et Droit de la Santé (46.03) M. ANTY Rodolphe Gastro-entérologie (52.01) M. BAHAD...

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“…However, this did not prompt immediate revision, as the median time before revision was 26.5 months [8.8, 54] which is consistent with the existing literature (11,23,24).…”

Section: -Discussionsupporting

confidence: 83%

Section: -Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Prevalence and Risk Factors of Artificial Urinary Sphincter Revision in Nonneurological Male Patients

et al. 2021

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“…This is in line with recent literature demonstrating that mechanical failure is the most common etiology of AUS device revision. 15,22,23 This should motivate improvements or alternative treatments for stress urinary incontinence; although the AUS has been revolutionary, it has fundamentally remained unchanged since inception.…”

Section: Discussionmentioning

confidence: 99%

Association between Previous Pelvic Radiation and All-Cause and Cause-Specific Failure of Replacement Artificial Urinary Sphincters

et al. 2022

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Purpose:In order to accurately characterize how a history of radiation therapy affects the lifespan of replacement artificial urinary sphincters (AUSs), all possible sources of device failure must be considered. We assessed the competing risks of device failure based on radiation history in men with replacement AUSs.Materials and Methods:We identified men who had a replacement AUS in a single institutional, retrospective database. To assess survival from all-cause device failure based on radiation history and other factors, we conducted Kaplan-Meier, Cox proportional-hazards and competing risks analyses.Results:Among 247 men who had a first replacement AUS, men with a history of radiation had shorter time to all-cause device failure (median 1.4 vs 3.5 years for men with radiation vs without radiation history, p=0.02). On multivariable Cox-proportional hazards analysis, previous radiation was associated with increased risk of all-cause device failure (HR: 2.12, 95% CI: 1.30–3.43, p=0.002). On multivariable cause-specific hazards analysis, prior radiation was associated with a higher risk of erosion/infection (HR: 7.57, 95% CI: 2.27–25.2, p <0.001), but was not associated with risk of urethral atrophy (p=0.5) or mechanical failure (p=0.15).Conclusions:Among men with a replacement AUS, a history of pelvic radiation was associated with shorter time to device failure of any cause. Radiation was also specifically associated with a sevenfold increase in the risk of erosion or infection of replacement AUS, but not with urethral atrophy or mechanical failure. Patients with a replacement AUS should be appropriately counseled on how radiation history may impact outcomes of future revisions.

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“…Perhaps this could be more clinically effective than sacral nerve stimulation in humans. The indications for an artificial urinary sphincter are expanding and, although it remains prone to failure over time, the number of suitable patients will increase (Srivastava et al, ).…”

Section: The Futurementioning

confidence: 99%

The anatomy of urination: What every physician should know

2018

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Normal voiding needs a coordinated, sustained bladder contraction of adequate size and duration. It requires a decrease in resistance of the bladder neck and urethra and no obstruction. Voiding problems can arise from abnormal storage of urine or problems with urinary control. The aim of this article was to review the functional anatomy and physiology of urinary control and micturition and the pathophysiology of urinary control problems. The Medline (PubMed) database, Cochrane Library, and Science Citation Index were searched electronically to identify original published studies on bladder anatomy, function and urinary control. References were searched from relevant chapters in specialized texts and all were included. Voiding problems are the most common presenting urological symptoms in general medical practice. Urinary incontinence occurs when the normal process of storing and passing urine is disrupted. A history of coexisting fecal incontinence suggests a neuropathic etiology. A better understanding of the physiology of urinary control could lead to preventive measures for postoperative urinary retention and incontinence such as fluid restriction and to appropriate anesthesia/analgesia, autonomic nerve preservation, total mesorectal excision (TME) for rectal cancer, and biofeedback exercises. It could also suggest appropriate therapeutic measures for established urinary incontinence. Clin. Anat., 2018. © 2018 Wiley Periodicals, Inc.

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Causes of Artificial Urinary Sphincter Failure and Strategies for Surgical Revision: Implications of Device Component Survival

Abstract: Artificial urinary sphincters remain prone to failure over time. In many instances, correcting only the pressure-regulating balloon may effectively restore device function, allowing for a less invasive revision.

Cited by 28 publications

References 17 publications

Prevalence and Risk Factors of Artificial Urinary Sphincter Revision in Nonneurological Male Patients

Prevalence and Risk Factors of Artificial Urinary Sphincter Revision in Nonneurological Male Patients

Association between Previous Pelvic Radiation and All-Cause and Cause-Specific Failure of Replacement Artificial Urinary Sphincters

The anatomy of urination: What every physician should know

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