Reply by the Authors

Abstract

Important distinctions exist between the current study and that of Sundaram et al. 1 Sundaram V. Cordon B.H. Hofer M.D. Morey A.F. Is risk of artificial urethral sphincter cuff erosion higher in patients with penile prosthesis?. J Sex Med. 2016; 13: 1432-1437 Abstract Full Text Full Text PDF PubMed Scopus (24) Google Scholar First, patient cohorts were fundamentally different. In the current study, we prospectively evaluated testosterone levels in a subset of our artificial urinary sphincter (AUS) population—those who returned to the clinic during a 3-month routine follow-up and those with concerns for AUS erosion. In contrast, the cohort in Sundaram et al contained 366 AUS patients including 73 patients with testosterone levels available—these levels were retrospectively extracted from the patient records. Low Serum Testosterone Level Predisposes to Artificial Urinary Sphincter Cuff ErosionUrologyVol. 97PreviewTo examine the association between decreased serum testosterone levels and artificial urinary sphincter (AUS) cuff erosion. Full-Text PDF Re: Hofner et al.: Low Serum Testosterone Level Predisposes to Artificial Urinary Sphincter Cuff Erosion (Urology 2016;97:245-249)UrologyVol. 101PreviewWe read this article with great interest and appreciate the work of the authors. The authors aimed to investigate the potential association between decreased serum testosterone levels and artificial urinary sphincter (AUS) cuff erosion in patients who underwent radical prostatectomy or primary radiation for prostate cancer.1 Their findings revealed that low testosterone level was the sole independent risk factor for cuff erosion. Interestingly, prior AUS history, radiotherapy, androgen ablation treatment, and concomitant penile prosthesis implantation did not confound risk of cuff erosion in men with decreased testosterone values. Full-Text PDF