The Artificial Urinary Sphincter: Evolution and Implementation of New Techniques in the Man with Stress Incontinence After Treatment for Prostate Cancer

Purpose of Review: Urinary incontinence is a burdensome sequelae of prostate cancer treatment with a significant impact on quality of life. The artificial urinary sphincter has been the gold standard for management of incontinence. A variety of modifications to the implantation technique to improve continence and minimize infections have been implemented. Herein, we review these changes. Recent Findings: Post-prostatectomy incontinence requires a detailed evaluation in order to determine the best method of treatment. Despite alternative devices on the market, the success and side effect profile continues to favor the artificial urinary sphincter (AUS) for management of most men with post-prostatectomy incontinence. While the overall risk of complications from the AUS is low, recent efforts have focused on measures to reduce infection and erosion rates. Summary: The AUS is a commonly utilized method to treat post-prostate cancer treatment incontinence. This remains the gold standard for management given its low side effect profile.

Duke Scholars

Author Andrew Charles Peterson Urology