Single perineal incision for artificial urinary sphincter: analysis of technique, outcomes, and experience

Punjani, Nahid; Chan, Ernest; Chan, Garson; Abed, Haider; Campbell, Jeffrey; Brock, Gerald

doi:10.21037/tau-20-508

Cited by 2 publications

(1 citation statement)

References 24 publications

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“…Device infection bridges the gap between perioperative and postoperative complications, as they can occur in both periods. The rate of device infection varies based on the reported series ranging from 1% up to 33.3% depending on approach, with variability noted between the penoscrotal versus perineal approach, single versus tandem cuff placement, and transcorporal placement [7,16,24,[42][43][44].…”

Section: Device Infectionmentioning

confidence: 99%

Artificial Urinary Sphincter Complications: A Narrative Review

Frazier,

Jones,

Hofer

2024

JCM

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Stress urinary incontinence is a financially burdensome and socially isolating problem and can be experienced by men as a result of radical prostatectomy, radiation therapy, or other urologic surgery. Artificial urinary sphincter (AUS) placement for stress urinary incontinence is considered the ‘gold standard’ for male stress urinary incontinence. While initially only placed by specialized prosthetic surgeons, changes in urologic training have made implantation of the device by general urologists more widespread. Additionally, even though a minority of urologists place the majority of implants, many urologists may find themselves caring for patients with these devices even if they have never placed them themselves. For this reason, it is paramount that the urologic surgeon implanting the device and those caring for patients with prostheses are familiar with the various perioperative and postoperative complications of AUS implantation. This review discusses the most commonly reported complications of AUS implantation as well as those that are rarely described. Knowledge of these potential complications is necessary in order to care for patients with urologic implants.

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Section: Device Infectionmentioning

confidence: 99%

Artificial Urinary Sphincter Complications: A Narrative Review

Frazier,

Jones,

Hofer

2024

JCM

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Mitigating infections in implantable urological continence devices: risks, challenges, solutions, and future innovations. A comprehensive literature review

Yang,

Lavigne,

Carugo

et al. 2024

Current Opinion in Urology

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Purpose of review Stress urinary incontinence is a growing issue in ageing men, often following treatment for prostate cancer or bladder outflow obstruction. While implantable urological devices offer relief, infections are a significant concern. These infections can lead to device removal, negating the benefits and impacting patient outcomes. This review explores the risks and factors contributing to these infections and existing strategies to minimize them. These strategies encompass a multifaceted approach that considers patient-specific issues, environmental issues, device design and surgical techniques. However, despite these interventions, there is still a pressing need for further advancements in device infection prevention. Recent findings Faster diagnostics, such as Raman spectroscopy, could enable early detection of infections. Additionally, biocompatible adjuncts like ultrasound-responsive microbubbles hold promise for enhanced drug delivery and biofilm disruption, particularly important as antibiotic resistance rises worldwide. Summary By combining advancements in diagnostics, device design, and patient-specific surgical techniques, we can create a future where implantable urological devices offer men a significant improvement in quality of life with minimal infection risk.

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Single perineal incision for artificial urinary sphincter: analysis of technique, outcomes, and experience

Cited by 2 publications

References 24 publications

Artificial Urinary Sphincter Complications: A Narrative Review

Artificial Urinary Sphincter Complications: A Narrative Review

Mitigating infections in implantable urological continence devices: risks, challenges, solutions, and future innovations. A comprehensive literature review

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