Perioperative Complications following Artificial Urinary Sphincter Placement

Linder, Brian J.; Piotrowski, Joshua; Ziegelmann, Matthew; Rivera, Marcelino; Rangel, Laureano J.; Elliott, Daniel S.

doi:10.1016/j.juro.2015.02.2945

Cited by 49 publications

(28 citation statements)

References 15 publications

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“…Their pooled analysis demonstrated 8.5 % infection and erosion rate, 6.2 % mechanical failure, 7.9 % urethral atrophy, and 26 % reoperation rate. More recently in a retrospective analysis examining 179 primary AUS implantations over a 2-year period, Linder et al [11] showed an overall complication rate of 35 % in the immediate 6 weeks following surgery. Complications include urinary retention (31 %), device infection (2 %), urethral erosion (2 %), and cellulitis (1 %).…”

Section: Discussionmentioning

confidence: 99%

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Comparison of complication rates related to male urethral slings and artificial urinary sphincters for urinary incontinence: national multi-institutional analysis of ACS-NSQIP database

et al. 2016

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3.0 %, p < 0.001). Patients with higher BMI were more likely to have a complication, while age, race and Charlson comorbidity index were not associated with higher or lower complication rates. Conclusions Complications rates for both male sling and AUS are low. Male sling is associated with a lower rate of complications than AUS. These findings allow for better patient perioperative counseling regarding 30-day perioperative complications.

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Section: Discussionmentioning

confidence: 99%

“…It can serve as a quality metric that may allow surgeons to identify areas of potential improvement in their practice. Data regarding male slings and AUS implantation complications have typically come from retrospectively reviewed large single-institution cases series [10,11] and identified from administrative billing data that have inherent limitations [12].…”

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confidence: 99%

Comparison of complication rates related to male urethral slings and artificial urinary sphincters for urinary incontinence: national multi-institutional analysis of ACS-NSQIP database

et al. 2016

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“…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.…”

Section: Resultsmentioning

confidence: 99%

“…[35][36][37][38] (C) A before--and-after study applied a longer period of primary deactivation (12 weeks) in irradiated patients. There is no evidence to support a primary deactivation period greater than six weeks.…”

Section: Resultsmentioning

confidence: 99%

Male urinary incontinence: Artificial sphincter

Truzzi

Sacomani

Prezotti

et al. 2017

Rev. Assoc. Med. Bras.

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The Guidelines Project, an initiative of the Brazilian Medical Association, aims to combine information from the medical field in order to standardize procedures to assist the reasoning and decision-making of doctors. The information provided through this project must be assessed and criticized by the physician responsible for the conduct that will be adopted, depending on the conditions and the clinical status of each patient.

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“…Jeigu šlapimo susilaikymas trunka ilgiau nei savaitę, tikėtina priežastis -netinkamas manžetės dydis. Tada reikalinga pakartotinė operacija manžetei pakeisti [49].…”

Section: Komplikacijosunclassified

Vyrų šlapimo nelaikymo gydymas implantuojant dirbtinį sfinkterį AMS 800

Černiauskienė¹,

Snicorius²,

Valatka³

2017

LietChirur

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Darbo tikslasRemiantis literatūros duomenimis, apžvelgti dirbtinio šlapimo pūslės sfinkterio AMS 800 implantavimo rezultatus gydant įtampos (streso) šlapimo nelaikymą. Įvertinti prietaiso implantavimo indikacijas, kontraindikacijas, paciento paruošimą ope racijai, operacijos techniką, komplikacijas. Medžiaga ir metodaiApžvalga buvo atlikta remiantis naujausia literatūra, pateikiama PubMed duomenų bazėje. Rezultatai Literatūros duomenimis, dirbtinio šlapimo pūslės sfinkterio AMS 800 efektyvumas įvairuoja nuo 61 % iki 100 %. 80-90 % ope ruotų pacientų pagerėja gyvenimo kokybė, jie yra patenkinti operacija ir ją rekomenduotų kitiems. Komplikacijos yra palygin ti retos, pasitaiko nuo 1 % iki 31 % atvejų. Tikimybė, kad AMS 800 dirbtinis sfinkteris garantuotai veiks 5 metus, yra 59-79 %. Išvados AMS 800 dirbtinis sfinkteris yra laiko patikrintas ir laikomas auksiniu standartu gydant vidutinio ir didelio laipsnio įtampos šlapimo nelaikymą. Tinkamai ištyrus pacientą, pasiekiami puikūs gydymo ir paciento pasitenkinimo operacija rezultatai, labai pagerėja gyvenimo kokybė. Reikšminiai žodžiai: vyrų šlapimo nelaikymas, dirbtinis šlapimo pūslės sfinkteris, radikali prostatektomija, AMS 800, litera tūros apžvalga ObjectiveOur purpose is to review results of AMS 800 artificial urinary sphincter implantation for treatment of male stress urinary in continence. To evaluate indications, contraindications, patient assessment, operative technique and complications of AMS 800 device.

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Perioperative Complications following Artificial Urinary Sphincter Placement

Abstract: The most common complication of artificial urinary sphincter placement is urinary retention. Serious adverse events following artificial urinary sphincter placement are rare. Postoperative urinary retention is associated with adverse short-term device survival rates.

Cited by 49 publications

References 15 publications

Comparison of complication rates related to male urethral slings and artificial urinary sphincters for urinary incontinence: national multi-institutional analysis of ACS-NSQIP database

Comparison of complication rates related to male urethral slings and artificial urinary sphincters for urinary incontinence: national multi-institutional analysis of ACS-NSQIP database

Male urinary incontinence: Artificial sphincter

Vyrų šlapimo nelaikymo gydymas implantuojant dirbtinį sfinkterį AMS 800

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