Abstract
The role of artificial urinary sphincter (AUS) as salvage option following failed anti-incontinence surgery is unclear. Database review and telephone survey were conducted to review patient satisfaction, surgical outcomes, device failure and revision rates. A total of 29 female patients received AUS following failed anti-incontinence surgeries. Five (17%) AUS devices were explanted due to AUS erosion or infection. Thirteen AUS revisions were made and device malfunction accounted for 95% of the cases. Kaplan-Meier analysis showed more than 90% of AUS malfunction occurred less than 100 months from the time of implant. There was a significant decrease in pad use (3.6 to 0.2 pads per day; p < 0.01). The continence rate with no pad use was 70% and this increases to 83% in patients wearing one precautionary pad. AUS is a safe, durable and effective salvage option for females with previous failed anti-incontinent surgeries.
Published Version
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