16,17) Although no studies specifically evaluate artificial urinary sphincter
(AUS) insertion after failed MUS, Valeux et al reviewed their experience with 245 female AUS cases.
Potential risk factors and outcomes of artificial urinary sphincter
placement after radical cystectomy and orthotopic neobladder urinary diversion.
Mayo Clinic experience with use of the AMS800 artificial urinary sphincter
for urinary incontinence following radical prostatectomy.
management 1 Yes Pending AUS 2 Yes Pending AUS 3 Yes 3-4 pads/day 4 No N/A 5 Yes Condom catheter 6 Yes 1 pad/day 7 No N/A AUS: artificial urinary sphincter
Possible treatments include behavioral therapy, pharmacotherapy, periurethral bulking, male incontinence slings, and artificial urinary sphincters
(AUS) (Cornu et al.
Artificial urinary sphincter
implantation in the irradiated patient: Safety, efficacy and satisfaction.
The first patient had an artificial urinary sphincter
and a penile prosthesis implanted; moreover, he was on chronic steroid therapy due to Addison's disease.
The first artificial urinary sphincter
was implanted in 1972.
The ultimate treatment goal was to remove the entire extruded bulking agent to allow healing of the urethra to later allow placement of an artificial urinary sphincter
Theil and colleagues found no evidence that patients with DO, low first sensation filling, decreased compliance or low bladder capacity had worse outcomes after artificial urinary sphincter
(AUS) insertion in 86 men than those who did not have urodynamics.
1] In this group, the 5-, 10- and 15-year cumulative rates of insertion of an artificial urinary sphincter
(AUS) or male urethral sling were 2.
Placement of an artificial urinary sphincter
remains the gold standard, with success rates up to 90%.