Early Efficacy and Safety Outcomes of Artificial Urinary Sphincter for Stress Urinary Incontinence Following Radical Prostatectomy or Benign Prostatic Obstruction Surgery: Results of a Large Multicentric Study

Dupuis, H.; Bentellis, I.; El-Akri, M.; Brierre, T.; Cousin, Tiffany; Gaillard, Victor; Poussot, Baptiste; Tricard, Thibault; Hermieu, N.; Robin, D.; Pitout, Alice; Beraud, Florian; Durand, Matthieu; Chevallier, D.; Bruyère, F.; Biardeau, Xavier; Monsaint, Hervé; Corbel, L.; Léon, Priscilla; Hermieu, Jean-François; Lecoanet, Pierre; Capon, G.; Gamé, X.; Saussine, C.; Peyronnet, B.; Cornu, Jean‐Nicolas

doi:10.1016/j.euf.2021.09.006

Cited by 8 publications

(7 citation statements)

References 18 publications

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“…In a multicenter study, VTE within 90 days of AUS surgery was seen in 1 of 417 patients. 3 Utilizing the NSQIP database, Tyson et al reported a single VTE event in 419 patients who underwent AUS surgery; however, NSQIP has notable flaws given that patients not treated for a complication at the hospital where the operation was performed are not captured as having a complication. 8 This is an important limitation as intuitively we would expect many VTE events to be treated after leaving the hospital.…”

Section: Discussionmentioning

confidence: 99%

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Risk of Postoperative Thromboembolism in Men Undergoing Urological Prosthetic Surgery: An Assessment of 21,413 Men

et al. 2022

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Purpose:We assessed venous thromboembolism (VTE) and associated risk factors following artificial urinary sphincter (AUS) and inflatable penile prosthesis (IPP) surgery.Materials and Methods:Using IBM® MarketScan, a commercial claims database, patients undergoing AUS and IPP surgery were identified using CPT® and ICD (International Classification of Diseases)-10 procedure codes between 2008 and 2017. ICD-9 and -10 codes were used to identify health care visits associated with lower extremity deep vein thrombosis (DVT) and pulmonary embolism (PE) within 90 days of surgery. Covariates were assessed using a multivariable model to determine association with outcome of DVT and/or PE.Results:A total of 21,413 men underwent AUS (4,870) or IPP (16,543) surgery between 2008 and 2017 with a median age of 62 years and 68 years, respectively. DVT and PE events following AUS and IPP surgery occurred in 1.54% and 1.04%, respectively. A history of varicose veins (HR 2.76; 95% CI 1.11–6.79), prior history of DVT (HR 13.65; 95% CI 7.4–25.19), or PE (HR 7.65; 95% CI 4.01–14.6) in those undergoing AUS surgery was highly associated with development of postoperative VTE. Likewise, prior history of DVT (HR 12.6; 95% CI 7.99–19.93) and PE (HR 8.9; 95% CI 5.6–14.13) was strongly associated with a VTE event following IPP surgery.Conclusions:In a large cohort of men undergoing AUS and IPP surgery, 1.54% and 1.04% of men experienced a VTE event within 90 days of surgery, respectively. Prior history of varicose veins, DVT, and PE was associated with an increased likelihood of developing a postoperative DVT or PE.

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Section: Discussionmentioning

confidence: 99%

“…1 Inflatable penile prosthesis (IPP) and artificial urinary sphincter (AUS) surgery postoperative outcomes including infection, device failure, and revision rates have been well characterized within the literature. 2–7 However, there is a lack of evidence giving meaningful estimates of postoperative venous thromboembolism (VTE).…”

mentioning

confidence: 99%

Risk of Postoperative Thromboembolism in Men Undergoing Urological Prosthetic Surgery: An Assessment of 21,413 Men

et al. 2022

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“…A Louis V, c'était un réel plaisir de t'être ta co-interne lors de ce semestre éreintant. Depuis sa première description en 1973 (1) , le sphincter urinaire artificiel (SUA) s'est imposé comme le traitement de référence de l'incontinence urinaire d'effort (IUE) modérée à sévère chez l'homme (2) , faisant la preuve de son efficacité (3) et de sa sécurité (4) . Pourtant, bien que l'incontinence urinaire représente un enjeu majeur de santé publique dans la population gériatrique, le SUA reste peu proposé aux sujets âgés.…”

Section: A L'urologie Niçoiseunclassified

“…During the past five decades (1) , artificial urinary sphincter (AUS) has emerged as the gold standard treatment in moderate to severe male stress urinary incontinence (SUI) (2) showing consistent data on efficacy (3) and safety. (4) Although urinary incontinence (UI) is a serious public health issue in geriatric population, AUS remains poorly used among elderly patients.…”

Section: B Introductionmentioning

confidence: 99%

Efficacy, safety and reoperation-free survival of artificial urinary sphincter in non neurological male patients over 75 years of age

Girard¹,

El-Akri²,

Durand³

et al. 2023

European Urology

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“…After compressive devices implants, high continence rates (61% to 100%) have been reported. 77 Dupuis et al, in a recent large multicenter study, 78 showed that AUS efficacy, defined as continence at 3 months, was 79% after radical prostatectomy.…”

Section: Introductionmentioning

confidence: 99%

Management of Urinary Incontinence Following Radical Prostatectomy: Challenges and Solutions

Castellan¹,

Ferretti²,

Litterio³

et al. 2023

TCRM

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Urinary incontinence is a common and debilitating problem in patients undergoing radical prostatectomy. Current methods developed to treat urinary incontinence include conservative treatments, such as lifestyle education, pelvic muscle floor training, pharmacotherapy, and surgical treatments, such as bulking agents use, artificial urinary sphincter implants, retrourethral transobturator slings, and adjustable male sling system. Pelvic floor muscle exercise is the most common management to improve the strength of striated muscles of the pelvic floor to try to recover the sphincter weakness. Antimuscarinic drugs, phosphodiesterase inhibitors, duloxetine, and a-adrenergic drugs have been proposed as medical treatments for urinary incontinence after radical prostatectomy. Development of new surgical techniques, new surgical tools and materials, such as male slings, has provided an improvement of outcomes after UI surgery. Such improvement is still ongoing, and the uptake of new devices might lead to even better outcomes after UI surgery.

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Early Efficacy and Safety Outcomes of Artificial Urinary Sphincter for Stress Urinary Incontinence Following Radical Prostatectomy or Benign Prostatic Obstruction Surgery: Results of a Large Multicentric Study

Cited by 8 publications

References 18 publications

Risk of Postoperative Thromboembolism in Men Undergoing Urological Prosthetic Surgery: An Assessment of 21,413 Men

Risk of Postoperative Thromboembolism in Men Undergoing Urological Prosthetic Surgery: An Assessment of 21,413 Men

Efficacy, safety and reoperation-free survival of artificial urinary sphincter in non neurological male patients over 75 years of age

Management of Urinary Incontinence Following Radical Prostatectomy: Challenges and Solutions

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