Abstract
The incidence of severe postprostatectomy incontinence (PPI) requiring an artificial urinary sphincter (AUS) is ≥5%. 1 Flynn B.J. Peterson A.C. Webster G.D. Evaluation and management of intrinsic sphincter deficiency after radical prostatectomy. AUA Update Series. 2007; (Lesson 15.1): 149-160 Google Scholar Many of these men survive prostate cancer and live into their 80s. These patients are especially at risk of AUS erosion owing to the comorbid conditions that commonly exist in this age group, including hypertension, coronary artery disease, radiotherapy, and previous AUS revision. 2 Raj G.V. Peterson A.C. Webster G.D. Outcomes following erosions of the artificial urinary sphincter. J Urol. 2006; 175: 2186-2190 Abstract Full Text Full Text PDF PubMed Scopus (101) Google Scholar Consequently, in referral centers for men with PPI, it is not uncommon to see a man in his 80s with coronary artery disease, previous radiotherapy, and severe PPI after AUS erosion. The management options include nonoperative treatment with sanitary pads, a condom catheter, or a penile clamp or surgical therapy such as a sling or an AUS. Comparison of Outcomes for Adjustable Bulbourethral Male Sling and Artificial Urinary Sphincter After Previous Artificial Urinary Sphincter ErosionUrologyVol. 73Issue 6PreviewTo compare the outcomes of the adjustable bulbourethral male sling and artificial urinary sphincter (AUS) in patients with recurrent postprostatectomy incontinence after previous AUS erosion. Full-Text PDF ReplyUrologyVol. 73Issue 6PreviewRecurrent incontinence after removal of an artificial urinary sphincter (AUS) is a devastating condition associated with important deteriorations in quality of life, especially for patients who have previously experienced a dry period. It has been emphasized that transcorporal AUS reimplantation can be a viable treatment option for these patients.1-3 However, it can be sometimes difficult or impossible to make a decision regarding the application of AUS replacement because of the increase in secondary erosion rates and/or the existence of some risk factors related to patient characteristics, as mentioned in the Editorial Comment. Full-Text PDF
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