Comparison of the Long-Term Outcomes Between Incontinent Men and Women Treated With Artificial Urinary Sphincter

Abstract

There were no differences in overall satisfactory continence and device failure rates. However, women have a higher dry rate (0 pad use) and longer functioning device duration compared to their male counterparts.

Outcome measures for stress urinary incontinence treatment: Can we minimally agree?

“…The criteria used in the studies with AUS to define continence were represented in Table 2. Discrepancies exist in the definition of continence reported in the main series [34][35][36][37][38][39][40][41][42][43][44]. Furthermore, subjective outcomes were rarely reported.…”

“…Validated quality of life questionnaires were never used. Only subjective improvement assessed by asking the patients was sometimes reported [34,36,38,43]. Sexual function was never investigated.…”

Diagnostic challenges in the evaluation of persistent or recurrent urinary incontinence after artificial urinary sphincter (AUS) implantation in patients after prostatectomy

“…In fact, tissue atrophy is probably the most common cause of non-mechanical failure and also the most common cause for AUS revision [4,7,9]. Since 1987, the incidence of tissue atrophy has decreased considerably with the introduction of a narrow-backed cuff [2,3].…”

“…Presently, there is an abundance of literature on patient selection, surgical techniques and clinical outcomes in AUS implantation [3][4][5][6][7]. However, there is a lack of information pertaining to the postoperative evaluation and management in patients with AUS implant who complain and continue to have UI.…”

Urinary Incontinence

“…Again, the de fi nitions of continence, improvement in urinary control, model of sphincter, indications (radical vs. transurethral prostatectomy), and patient satisfaction vary widely [ 244 ] . Signi fi cant improvements in urinary control may be as high as 87 % in the short term [ 245,246 ] and may persist up to 10 years indicating the durability of the procedure [ 198,200,247 ] . In one study, 90 % of patients had a functional AUS at 5 years with nearly threequarters requiring no revision [ 201 ] .…”