Artificial Urinary Sphincter Considerations in Men With Prior Inflatable Penile Prosthesis Placement

Abstract

Despite advances in patient selection, surgical technique, and the perioperative rehabilitation of urinary continence and sexual function, functional complications related to the surgical treatment of prostate cancer persist. Urinary incontinence (UI) and erectile dysfunction (ED) are most commonly reported and are associated with significant physical, psychological, and interpersonal distress. The surgical management of severe and/or refractory UI and ED includes the artificial urinary sphincter (AUS) and inflatable penile prosthesis (IPP), respectively.