Is Prolonged Catheterization a Risk Factor for Artificial Urinary Sphincter Cuff Erosion?

Perioperative Complications following Artificial Urinary Sphincter Placement

“…17 Notably prolonged urethral catheterization (greater than 48 hours) has been associated with cuff erosion. 7,8 Limitations of our study should be noted, including its nonrandomized design. Additionally while data were prospectively collected, it was retrospectively reviewed.…”

“…While prolonged catheterization (greater than 48 hours) is reported to increase the risk of erosion, data are sparse on the potential impact of self-catheterization in a nonneurogenic adult population. 7,8 With regard to the management of postoperative urinary retention a number of strategies have been proposed. After confirming that the device is deactivated we prefer to have the patient perform intermittent catheterization using a small bore (10Fr or 12Fr) Foley catheter.…”

“…6 Additionally, urethral instrumentation with catheterization during 48 hours in patients with an AUS in place, which may be encountered with postoperative retention, has been associated with device erosion. 7,8 As such it was hypothesized that postoperative urinary retention, which is not infrequent and may require repetitive urethral instrumentation, may also increase the risk of device infection/erosion or secondary surgery.…”

Male urinary incontinence: Artificial sphincter

“…After the analysis of the full texts, 14 studies were included in our evaluation. [25][26][27][28][29][30][31][32][33][34][35][36][37][38] The main reasons for exclusion were: studies aiming only to describe the surgical technique, a series of cases with a small number of patients included (n < 10), and a narrative review.…”

“…32 (C) 33,34 (B) The "AUS Consensus Group" (2015) recommends the use of a ≤ 14-Fr catheter and suggests removing it after a brief period (usually overnight) if the surgery was uneventful, as removal on the same day may increase the risk of urinary retention due to pain or inflammation.…”