Abstract

The artificial urethral sphincter (AUS) is the gold standard treatment for male stress urinary incontinence which commonly Results from prostatectomy or pelvic radiation for prostate cancer. Radiation therapy is a well-established risk factor for complications following artificial urinary sphincter placement including increased risk of sphincter erosion and need for revision surgery. Patients with a history of radiation are 1.56 times more likely to undergo artificial urinary sphincter revision surgery with rates of infection or erosion as high as 50% at 2 years. The transcorporal technique for artificial urinary sphincter placement has primarily been used for revision surgery to mitigate the risks of recurrent urethral erosion by interposing the tunica albuginea between the cuff and thin dorsal urethra.

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