Artificial Urinary Sphincter Complications: Risk Factors, Workup, and Clinical Approach

Roger K. Khouri, Nicolas M. Ortiz, Benjamin M. Dropkin, Gregory A. Joice, Adam S. Baumgarten, Allen F. Morey, Steven J. Hudak

Research output: Contribution to journalReview articlepeer-review

Abstract

Purpose of Review: To review risk factors for AUS complications and present a systematic approach to their diagnosis and management. Recent Findings: Established risk factors for AUS complications include catheterization, channel TURP, pelvic radiation, urethroplasty, anticoagulation, cardiovascular disease, diabetes mellitus, frailty index, hypertension, low albumin, and low testosterone. We present our algorithm for diagnosis and management of AUS complications. Summary: Despite being the gold standard of treatment for men with SUI, major and minor complications can occur at any point after AUS insertion. Careful consideration of the urologic, medical, and operative risk factors for each patient can help prevent complications. A systematic approach to early and late complications facilitates their identification and effective management. The evaluating urologist must have a thorough understanding of potential AUS complications in order to restore quality of life in men with bothersome SUI.

Original languageEnglish (US)
Article number30
JournalCurrent urology reports
Volume22
Issue number5
DOIs
StatePublished - May 2021

Keywords

  • Artificial urinary sphincter
  • Men’s health
  • Reconstructive urology
  • Stress urinary incontinence
  • Urinary incontinence

ASJC Scopus subject areas

  • Urology

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