Artificial urinary sphincter erosion and infection: a contemporary review of perioperative considerations and management.
Publication/Presentation Date
5-31-2024
Abstract
Surgical treatment options have long been a part of the treatment armamentarium in the field of male stress urinary incontinence (SUI) and will continue to play an important role moving forward given the dramatic improvement they can have on a patient's quality of life and urinary tract function and control. The artificial urinary sphincter (AUS) is widely considered the gold standard treatment option for male SUI given its breadth of effectiveness in mild, moderate, and severe cases of SUI. As with any surgery, there are potential perioperative risks and complications that all patients must be aware of when weighing the pros and cons of different treatment options. Two of the most dreaded complications of AUS surgery are urethral cuff erosion and device infection, both necessitating a subsequent surgery for device explant. The goal of this clinical practice review article is to examine and discuss the perioperative factors and management of these complications. Effectively treating these complications is of utmost importance, not just to address the acute clinical problem for patient health and safety, but also to provide the patient with the best chance of pursuing AUS replacement surgery in the future, given that the vast majority of these patients will develop recurrent bothersome SUI after the eroded and/or infected device is removed. By reviewing pertinent patient factors, preoperative and postoperative considerations, device-specific characteristics, surgical techniques, and patient counseling, this article serves as a thorough and practical clinical review guide for practicing urologists who perform male incontinence surgery.
Volume
13
Issue
5
First Page
857
Last Page
867
ISSN
2223-4691
Published In/Presented At
Desai, T. J., & Rozanski, A. T. (2024). Artificial urinary sphincter erosion and infection: a contemporary review of perioperative considerations and management. Translational andrology and urology, 13(5), 857–867. https://doi.org/10.21037/tau-23-488
Disciplines
Medicine and Health Sciences
PubMedID
38855596
Department(s)
Department of Surgery
Document Type
Article