Is prolonged catheterization a risk factor for artificial urinary sphincter cuff erosion?

Casey A. Seideman, Lee C. Zhao, Steven J. Hudak, Jesse Mierzwiak, Mehrad Adibi, Allen F. Morey

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Objective To evaluate the relative risk of prolonged urethral catheterization (PC), >48 hours, on artificial urinary sphincter (AUS) cuff erosion in a tertiary referral population. Methods All men who had undergone AUS implantation or revision by multiple surgeons at our institution from 2000 to 2010 with ≥6 months of follow-up were reviewed for urethral erosion, catheterization after AUS placement, and comorbid conditions. Results Of the 258 AUS patients reviewed, 200 met the inclusion criteria, with an average follow-up of 24 months. AUS cuff erosions were noted in 24 men (12%) and were diagnosed at a mean of 16.9 months (range 0.8-87.1). PC was identified in 44 of the 200 men (22%) - of these men, erosions occurred in 17 (39%, P <.001). The indication for PC was most often major nongenitourinary surgery (36%) or urinary retention (32%). Univariate analysis identified an increased risk of erosion associated with hypertension, diabetes, coronary artery disease, PC, previous radiotherapy, and secondary AUS placement (P <.05). On multivariate analysis, only PC, radiotherapy, and revision surgery were significant (P <.05), but cuff size and concomitant inflatable penile prosthesis were not associated with AUS cuff erosion. Conclusion PC is an independent risk factor for AUS cuff erosion.

Original languageEnglish (US)
Pages (from-to)943-946
Number of pages4
JournalUrology
Volume82
Issue number4
DOIs
StatePublished - Oct 2013

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Artificial Urinary Sphincter
Urinary Catheterization
Catheterization
Radiotherapy
Penile Prosthesis
Urinary Retention
Reoperation
Coronary Artery Disease
Referral and Consultation
Multivariate Analysis
Hypertension

ASJC Scopus subject areas

  • Urology

Cite this

Is prolonged catheterization a risk factor for artificial urinary sphincter cuff erosion? / Seideman, Casey A.; Zhao, Lee C.; Hudak, Steven J.; Mierzwiak, Jesse; Adibi, Mehrad; Morey, Allen F.

In: Urology, Vol. 82, No. 4, 10.2013, p. 943-946.

Research output: Contribution to journalArticle

Seideman, Casey A. ; Zhao, Lee C. ; Hudak, Steven J. ; Mierzwiak, Jesse ; Adibi, Mehrad ; Morey, Allen F. / Is prolonged catheterization a risk factor for artificial urinary sphincter cuff erosion?. In: Urology. 2013 ; Vol. 82, No. 4. pp. 943-946.
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abstract = "Objective To evaluate the relative risk of prolonged urethral catheterization (PC), >48 hours, on artificial urinary sphincter (AUS) cuff erosion in a tertiary referral population. Methods All men who had undergone AUS implantation or revision by multiple surgeons at our institution from 2000 to 2010 with ≥6 months of follow-up were reviewed for urethral erosion, catheterization after AUS placement, and comorbid conditions. Results Of the 258 AUS patients reviewed, 200 met the inclusion criteria, with an average follow-up of 24 months. AUS cuff erosions were noted in 24 men (12{\%}) and were diagnosed at a mean of 16.9 months (range 0.8-87.1). PC was identified in 44 of the 200 men (22{\%}) - of these men, erosions occurred in 17 (39{\%}, P <.001). The indication for PC was most often major nongenitourinary surgery (36{\%}) or urinary retention (32{\%}). Univariate analysis identified an increased risk of erosion associated with hypertension, diabetes, coronary artery disease, PC, previous radiotherapy, and secondary AUS placement (P <.05). On multivariate analysis, only PC, radiotherapy, and revision surgery were significant (P <.05), but cuff size and concomitant inflatable penile prosthesis were not associated with AUS cuff erosion. Conclusion PC is an independent risk factor for AUS cuff erosion.",
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AU - Adibi, Mehrad

AU - Morey, Allen F.

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N2 - Objective To evaluate the relative risk of prolonged urethral catheterization (PC), >48 hours, on artificial urinary sphincter (AUS) cuff erosion in a tertiary referral population. Methods All men who had undergone AUS implantation or revision by multiple surgeons at our institution from 2000 to 2010 with ≥6 months of follow-up were reviewed for urethral erosion, catheterization after AUS placement, and comorbid conditions. Results Of the 258 AUS patients reviewed, 200 met the inclusion criteria, with an average follow-up of 24 months. AUS cuff erosions were noted in 24 men (12%) and were diagnosed at a mean of 16.9 months (range 0.8-87.1). PC was identified in 44 of the 200 men (22%) - of these men, erosions occurred in 17 (39%, P <.001). The indication for PC was most often major nongenitourinary surgery (36%) or urinary retention (32%). Univariate analysis identified an increased risk of erosion associated with hypertension, diabetes, coronary artery disease, PC, previous radiotherapy, and secondary AUS placement (P <.05). On multivariate analysis, only PC, radiotherapy, and revision surgery were significant (P <.05), but cuff size and concomitant inflatable penile prosthesis were not associated with AUS cuff erosion. Conclusion PC is an independent risk factor for AUS cuff erosion.

AB - Objective To evaluate the relative risk of prolonged urethral catheterization (PC), >48 hours, on artificial urinary sphincter (AUS) cuff erosion in a tertiary referral population. Methods All men who had undergone AUS implantation or revision by multiple surgeons at our institution from 2000 to 2010 with ≥6 months of follow-up were reviewed for urethral erosion, catheterization after AUS placement, and comorbid conditions. Results Of the 258 AUS patients reviewed, 200 met the inclusion criteria, with an average follow-up of 24 months. AUS cuff erosions were noted in 24 men (12%) and were diagnosed at a mean of 16.9 months (range 0.8-87.1). PC was identified in 44 of the 200 men (22%) - of these men, erosions occurred in 17 (39%, P <.001). The indication for PC was most often major nongenitourinary surgery (36%) or urinary retention (32%). Univariate analysis identified an increased risk of erosion associated with hypertension, diabetes, coronary artery disease, PC, previous radiotherapy, and secondary AUS placement (P <.05). On multivariate analysis, only PC, radiotherapy, and revision surgery were significant (P <.05), but cuff size and concomitant inflatable penile prosthesis were not associated with AUS cuff erosion. Conclusion PC is an independent risk factor for AUS cuff erosion.

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