2016
DOI: 10.1016/j.juro.2016.02.1794
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Pd44-02 Lessons Learned From 48 Surgical Procedures for the Treatment of Urethrovesical Anastomotic Stenosis After Radical Prostatectomy.

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“…Recently, Cavalcanti et al described a series of 48 patients with VUAS addressed by perineal approach. Twenty four of them (50%) presented UI (20). In addition, Ivaz et al, stated that all patients must be counselled that this will almost certainly be a two - stage reconstruction, the first to unblock them by revision of the vesicourethral anastomosis and then secondly to implant an artificial urinary sphincter for the almost inevitable sphincter weakness incontinence following unobstruction (16).…”
Section: Discussionmentioning
confidence: 99%
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“…Recently, Cavalcanti et al described a series of 48 patients with VUAS addressed by perineal approach. Twenty four of them (50%) presented UI (20). In addition, Ivaz et al, stated that all patients must be counselled that this will almost certainly be a two - stage reconstruction, the first to unblock them by revision of the vesicourethral anastomosis and then secondly to implant an artificial urinary sphincter for the almost inevitable sphincter weakness incontinence following unobstruction (16).…”
Section: Discussionmentioning
confidence: 99%
“…AUS is considered the gold standard for the treatment of UI after VUAS re - anastomosis by perineal approach. Despite the utility of the AUS, it is well known the association with complications and urinary incontinence post implantation vary between 12 and 40% (20-25). Recently, successful implantation (17 / 23 patients) has been reported with AUS for UI after perineal approach (15).…”
Section: Discussionmentioning
confidence: 99%