Abstract | PURPOSE: MATERIALS AND METHODS: Records of patients who underwent artificial urinary sphincter removal for cuff erosion from 2007 to 2013 were retrospectively reviewed. Two cohorts of patients were evaluated, with those in group 1 treated with in situ urethroplasty and those in group 2 treated with a Foley catheter only. We compared demographic, clinical and radiological data to assess resultant stricture disease, and compared operative times between the cohorts. RESULTS: Of the 26 artificial urinary sphincter cuff erosion cases identified 13 underwent in situ urethroplasty while 13 did not. Mean patient age was 73 years (range 61 to 83) with a mean followup of 24 months (range 8 to 69). The rate of urethral stricture formation after artificial urinary sphincter explantation was significantly reduced among patients treated with in situ urethroplasty (5 of 13, 38%) compared to those treated with Foley catheter only (11 of 13, 85%; p=0.047). Mean operative times were similar at 78 minutes (50 to 133) for the in situ urethroplasty group vs 70 minutes (51 to 92) for the Foley catheter only group (p=0.39). Those treated with in situ urethroplasty underwent significantly fewer procedures per patient before artificial urinary sphincter replacement (0.4 vs 1.1, p=0.004) and had a much higher rate of eventually undergoing secondary artificial urinary sphincter implantation (7 of 13, 54% vs 2 of 13, 15%, p=0.04) compared to those with cuff erosion treated with Foley catheter only. CONCLUSIONS:
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Authors | Alexander T Rozanski, Timothy J Tausch, Daniel Ramirez, Jay Simhan, J Francis Scott, Allen F Morey |
Journal | The Journal of urology
(J Urol)
Vol. 192
Issue 2
Pg. 442-6
(Aug 2014)
ISSN: 1527-3792 [Electronic] United States |
PMID | 24512955
(Publication Type: Comparative Study, Journal Article)
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Copyright | Copyright © 2014 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved. |
Topics |
- Aged
- Aged, 80 and over
- Humans
- Male
- Middle Aged
- Postoperative Complications
(surgery)
- Prosthesis Failure
(adverse effects)
- Retrospective Studies
- Time Factors
- Urethra
(surgery)
- Urethral Stricture
(etiology, prevention & control)
- Urinary Sphincter, Artificial
- Urologic Surgical Procedures
(methods)
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