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Part of the book series: Current Clinical Urology ((CCU))

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Abstract

Since the first implantation of the artificial urinary sphincter in 1973, thousands of men, women, and children have regained urinary continence, thanks to Dr. Brantley Scott. With long-term data now available, the AUS has become widely used with satisfactory outcomes. Multiple large series have confirmed the AUS to be a durable treatment for sphincter deficiency patients even in patients with neurogenic bladder, radiation treatment, bladder neck contracture, failed slings or injectables, mixed urinary incontinence, or low detrusor pressures. More experience is needed to evaluate the AUS in men with incontinence following minimally invasive treatment of prostate cancer with more contemporary technologies such as brachytherapy, proton therapy, or high-intensity focused ultrasound.

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References

  1. Foley FE. An artificial sphincter; a new device and operation for control of enuresis and urinary incontinence. J Urol. 1947;58:250.

    CAS  PubMed  Google Scholar 

  2. Berry JL. Evaluation of a new procedure for correction of postprostatectomy urinary incontinence. Bull N Y Acad Med. 1964;40:790.

    CAS  PubMed Central  PubMed  Google Scholar 

  3. Kaufman JJ. Treatment of post-prostatectomy urinary incontinence using a silicone gel prosthesis. Br J Urol. 1973;45:646.

    Article  CAS  PubMed  Google Scholar 

  4. Scott FB, Bradley WE, Timm GW. Treatment of urinary incontinence by implantable prosthetic sphincter. Urology. 1973;1:252.

    Article  CAS  PubMed  Google Scholar 

  5. Light JK. Complications of surgery for male urinary incontinence. In: Smith RB, Ehrlich RM, editors. Complications of urologic surgery, prevention and management. Philadelphia: WB Saunders; 1990.

    Google Scholar 

  6. Lai HH, Hsu EI, Boone TB. Urodynamic testing in evaluation of postradical prostatectomy incontinence before artificial urinary sphincter implantation. Urology. 2009;73:1264.

    Article  PubMed  Google Scholar 

  7. Lai HH, Boone TB. Implantation of artificial urinary sphincter in patients with post-prostatectomy incontinence, and preoperative overactive bladder and mixed symptoms. J Urol. 2011;185:2254.

    Article  PubMed  Google Scholar 

  8. Wolf Jr JS, Bennett CJ, Dmochowski RR, et al. Best practice policy statement on urologic surgery antimicrobial prophylaxis. J Urol. 2008;179:1379.

    Article  PubMed  Google Scholar 

  9. Brito CG, Mulcahy JJ, Mitchell ME, et al. Use of a double cuff AMS800 urinary sphincter for severe stress incontinence. J Urol. 1993;149:283.

    CAS  PubMed  Google Scholar 

  10. Martins FE, Boyd SD. Post-operative risk factors associated with artificial urinary sphincter infection-erosion. Br J Urol. 1995;75:354.

    Article  CAS  PubMed  Google Scholar 

  11. Magera Jr JS, Elliott DS. Artificial urinary sphincter infection: causative organisms in a contemporary series. J Urol. 2008;180:2475.

    Article  PubMed  Google Scholar 

  12. Kowalczyk JJ, Nelson R, Mulcahy JJ. Successful reinsertion of the artificial urinary sphincter after removal for erosion or infection. Urology. 1996;48:906.

    Article  CAS  PubMed  Google Scholar 

  13. Lai HH, Boone TB. Complex artificial urinary sphincter revision and reimplantation cases-how do they fare compared to virgin cases? J Urol. 2012;187:951.

    Article  PubMed  Google Scholar 

  14. Catti M, Lortat-Jacob S, Morineau M, et al. Artificial urinary sphincter in children–voiding or emptying? An evaluation of functional results in 44 patients. J Urol. 2008;180:690.

    Article  CAS  PubMed  Google Scholar 

  15. Ruiz E, Puigdevall J, Moldes J, et al. 14 years of experience with the artificial urinary sphincter in children and adolescents without spina bifida. J Urol. 2006;176:1821.

    Article  CAS  PubMed  Google Scholar 

  16. Chartier Kastler E, Genevois S, Game X, et al. Treatment of neurogenic male urinary incontinence related to intrinsic sphincter insufficiency with an artificial urinary sphincter: a French retrospective multicentre study. BJU Int. 2011;107:426.

    Article  PubMed  Google Scholar 

  17. O'Connor RC, Kuznetsov DD, Patel RV, et al. Artificial urinary sphincter placement in men after cystectomy with orthotopic ileal neobladder: continence, complications, and quality of life. Urology. 2002;59:542.

    Article  PubMed  Google Scholar 

  18. Westney OL, Hinh P, Lee D. Outcomes of artificial urinary sphincter prosthesis implantation for treatment of stress urinary incontinence in patients with ileal neobladder. In: AUA, 2011. Abstract 1170.

    Google Scholar 

  19. Saffarian A, Walsh K, Walsh IK, et al. Urethral atrophy after artificial urinary sphincter placement: is cuff downsizing effective? J Urol. 2003;169:567.

    Article  PubMed  Google Scholar 

  20. Magera Jr JS, Elliott DS. Tandem transcorporal artificial urinary sphincter cuff salvage technique: surgical description and results. J Urol. 2007;177:1015.

    Article  PubMed  Google Scholar 

  21. Christine B, Knoll LD. Treatment of recurrent urinary incontinence after artificial urinary sphincter placement using the AdVance male sling. Urology. 2010;76:1321.

    Article  PubMed  Google Scholar 

  22. Couillard DR, Vapnek JM, Stone AR. Proximal artificial sphincter cuff repositioning for urethral atrophy incontinence. Urology. 1995;45:653.

    Article  CAS  PubMed  Google Scholar 

  23. Guralnick ML, Miller E, Toh KL, et al. Transcorporal artificial urinary sphincter cuff placement in cases requiring revision for erosion and urethral atrophy. J Urol. 2002;167:2075.

    Article  PubMed  Google Scholar 

  24. DiMarco DS, Elliott DS. Tandem cuff artificial urinary sphincter as a salvage procedure following failed primary sphincter placement for the treatment of post-prostatectomy incontinence. J Urol. 2003;170:1252.

    Article  PubMed  Google Scholar 

  25. Fisher MB, Aggarwal N, Vuruskan H, et al. Efficacy of artificial urinary sphincter implantation after failed bone-anchored male sling for postprostatectomy incontinence. Urology. 2007;70:942.

    Article  PubMed  Google Scholar 

  26. Elliott DS, Barrett DM, Gohma M, et al. Does nocturnal deactivation of the artificial urinary sphincter lessen the risk of urethral atrophy? Urology. 2001;57:1051.

    Article  CAS  PubMed  Google Scholar 

  27. Rahman NU, Minor TX, Deng D, et al. Combined external urethral bulking and artificial urinary sphincter for urethral atrophy and stress urinary incontinence. BJU Int. 2005;95:824.

    Article  PubMed  Google Scholar 

  28. Martins FE, Boyd SD. Artificial urinary sphincter in patients following major pelvic surgery and/or radiotherapy: are they less favorable candidates? J Urol. 1995;153:1188.

    Article  CAS  PubMed  Google Scholar 

  29. Wang Y, Hadley HR. Experiences with the artificial urinary sphincter in the irradiated patient. J Urol. 1992;147:612.

    CAS  PubMed  Google Scholar 

  30. Gomha MA, Boone TB. Artificial urinary sphincter for post-prostatectomy incontinence in men who had prior radiotherapy: a risk and outcome analysis. J Urol. 2002;167:591.

    Article  PubMed  Google Scholar 

  31. Alan J, Wein LRK, Novick Andrew C, Partin Alan W, Peters Craig A, editors. Campbell-Walsh urology. 10th ed. Philadelphia: Elsevier Expert Consult; 2012.

    Google Scholar 

  32. Benoit RM, Naslund MJ, Cohen JK. Complications after prostate brachytherapy in the Medicare population. Urology. 2000;55:91.

    Article  CAS  PubMed  Google Scholar 

  33. Elliott DS, Boone TB. Combined stent and artificial urinary sphincter for management of severe recurrent bladder neck contracture and stress incontinence after prostatectomy: a long-term evaluation. J Urol. 2001;165:413.

    Article  CAS  PubMed  Google Scholar 

  34. Magera Jr JS, Inman BA, Elliott DS. Outcome analysis of urethral wall stent insertion with artificial urinary sphincter placement for severe recurrent bladder neck contracture following radical prostatectomy. J Urol. 2009;181:1236.

    Article  PubMed  Google Scholar 

  35. Lai HH, Hsu EI, Teh BS, et al. 13 years of experience with artificial urinary sphincter implantation at Baylor College of Medicine. J Urol. 2007;177:1021.

    Article  PubMed  Google Scholar 

  36. Mazdak H, Meshki I, Ghassami F. Effect of mitomycin C on anterior urethral stricture recurrence after internal urethrotomy. Eur Urol. 2007;51:1089.

    Article  CAS  PubMed  Google Scholar 

  37. Peterson AC, Webster GD. Artificial urinary sphincter: lessons learned. Urol Clin North Am. 2011;38:83.

    Article  PubMed  Google Scholar 

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Khavari, R., Boone, T. (2014). The Artificial Urinary Sphincter. In: Badlani, G. (eds) Minimally Invasive Therapy for Urinary Incontinence and Pelvic Organ Prolapse. Current Clinical Urology. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-0008-4_8

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  • DOI: https://doi.org/10.1007/978-1-4939-0008-4_8

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  • Publisher Name: Humana Press, New York, NY

  • Print ISBN: 978-1-4939-0007-7

  • Online ISBN: 978-1-4939-0008-4

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