PD04-02 PREVALENCE AND RISK FACTORS OF ARTIFICIAL URINARY SPHINCTER REVISION IN NON-NEUROLOGICAL MALE PATIENTS

Abstract

You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Male Incontinence: Therapy I (PD04)1 Sep 2021PD04-02 PREVALENCE AND RISK FACTORS OF ARTIFICIAL URINARY SPHINCTER REVISION IN NON-NEUROLOGICAL MALE PATIENTS Imad Bentellis, Mehdi El Akri, Jean-Nicolas Cornu, Thibaut Brierre, Tiffany Cousin, Victor Gaillard, Baptiste Poussot, Hugo Dupuis, Thibaut Tricard, Nicolas Hermieu, Damien Robin, Alice Pitout, Florian Beraud, Bertrand-Leon Priscilla, Daniel Chevallier, Frank Bruyère, Xavier Biardeau, Hervé Monsaint, Luc Corbel, Jean-François Hermieu, Pierre Lecoanet, Grégoire Capon, Xavier Game, Christian Saussine, Matthieu Durand, and Benoit Peyronnet Imad BentellisImad Bentellis More articles by this author , Mehdi El AkriMehdi El Akri More articles by this author , Jean-Nicolas CornuJean-Nicolas Cornu More articles by this author , Thibaut BrierreThibaut Brierre More articles by this author , Tiffany CousinTiffany Cousin More articles by this author , Victor GaillardVictor Gaillard More articles by this author , Baptiste PoussotBaptiste Poussot More articles by this author , Hugo DupuisHugo Dupuis More articles by this author , Thibaut TricardThibaut Tricard More articles by this author , Nicolas HermieuNicolas Hermieu More articles by this author , Damien RobinDamien Robin More articles by this author , Alice PitoutAlice Pitout More articles by this author , Florian BeraudFlorian Beraud More articles by this author , Bertrand-Leon PriscillaBertrand-Leon Priscilla More articles by this author , Daniel ChevallierDaniel Chevallier More articles by this author , Frank BruyèreFrank Bruyère More articles by this author , Xavier BiardeauXavier Biardeau More articles by this author , Hervé MonsaintHervé Monsaint More articles by this author , Luc CorbelLuc Corbel More articles by this author , Jean-François HermieuJean-François Hermieu More articles by this author , Pierre LecoanetPierre Lecoanet More articles by this author , Grégoire CaponGrégoire Capon More articles by this author , Xavier GameXavier Game More articles by this author , Christian SaussineChristian Saussine More articles by this author , Matthieu DurandMatthieu Durand More articles by this author , and Benoit PeyronnetBenoit Peyronnet More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000001968.02AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: To assess the prevalence and risk factors of male AUS mechanical failures and non-mechanical failures. METHODS: The charts of all male patients who underwent an AUS implantation between 2004 and 2020 in 16 centers were retrospectively reviewed. Patients with neurogenic stress urinary incontinence (SUI) were excluded as well as revisions/explantations for infections and/or erosions. Causes of revision were divided into mechanical failures (fluid loss or malfunction from any components of the AUS), non-mechanical failures (urethral atrophy, recurrence/persistence of SUI despite normally functioning device) and other (pump malposition, balloon herniation, hematoma, pain). Failure-free survival analysis was performed both for general and specific causes of revision. Predictors of mechanical and non-mechanical failures were determined by Cox proportional hazards model. RESULTS: Overall 1020 patients had a median follow-up of 20 months (Table 1A, 1B), the estimated 5-year and 10-year revision free survival were 60% and 40% (Figure 1A). There were 214 AUS revisions: 59 (27,6%) for mechanical failures, 121 (56,5%) for non-mechanical failures and 34 (15,8%) other causes of revision. In multivariable Cox regression analysis, larger cuff size was the only predictor of overall revisions (HR=1.04 [1.01-1.07]; p=0.01) and revision for non-mechanical failure (HR=1.05 [1.02-1.09]; p=0.004) (Table 1C). CONCLUSIONS: Half of male AUS patients undergo device revision over the first ten years after implantation. Non-mechanical failures are the primary cause of AUS revision in non-neurological men. Larger cuff size appears to be the main determinant of AUS revision’s risk. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e49-e50 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Imad Bentellis More articles by this author Mehdi El Akri More articles by this author Jean-Nicolas Cornu More articles by this author Thibaut Brierre More articles by this author Tiffany Cousin More articles by this author Victor Gaillard More articles by this author Baptiste Poussot More articles by this author Hugo Dupuis More articles by this author Thibaut Tricard More articles by this author Nicolas Hermieu More articles by this author Damien Robin More articles by this author Alice Pitout More articles by this author Florian Beraud More articles by this author Bertrand-Leon Priscilla More articles by this author Daniel Chevallier More articles by this author Frank Bruyère More articles by this author Xavier Biardeau More articles by this author Hervé Monsaint More articles by this author Luc Corbel More articles by this author Jean-François Hermieu More articles by this author Pierre Lecoanet More articles by this author Grégoire Capon More articles by this author Xavier Game More articles by this author Christian Saussine More articles by this author Matthieu Durand More articles by this author Benoit Peyronnet More articles by this author Expand All Advertisement Loading ...