Skip to main content
Journal cover image

Indications and Outcomes for Intermittent Catheterization following Bulbar AUS Cuff Placement.

Publication ,  Journal Article
Krughoff, K; Livingston, AJ; Inouye, B; Peterson, AC; Lentz, AC
Published in: Urology
January 2023

OBJECTIVE: To evaluate the functional and surgical impact of CIC protocols in men with a bulbar AUS in place. Stress urinary incontinence (SUI) and poor bladder emptying are both sequelae of prostate cancer treatment, though there is sparse data to guide concomitant management. The safety of intermittent catheterization (CIC) in men with an artificial urinary sphincter (AUS) at the bulbar urethra remains unclear. METHODS: We performed a retrospective review of all bulbar urethral AUS procedures at our institution. Inclusion criteria were patients with a history of prostate cancer treatment, AUS placement for SUI, and a history of CIC before and/or after AUS placement. All eligible cases were retrospectively reviewed. Surgical and continence outcomes were analyzed. RESULTS: A total of 57 patients were identified with a history of CIC and AUS placement under the care of two surgeons. Eighteen continued to perform CIC or first initiated CIC after AUS placement and 39 discontinued CIC prior to AUS placement. The incidence of erosion was no different amongst patients who continued or discontinued CIC after AUS placement (17.9% vs 22.2%, P = .79). There was no difference in future AUS removal or replacement (56.4% vs 44.4%, P = .41). Both groups experienced improvement in urinary incontinence after placement of an AUS. CONCLUSION: Bulbar AUS placement in the setting of continuous intermittent catheterization can be considered in patients who are not surgical candidates for definitive treatment of their outlet obstruction.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Urology

DOI

EISSN

1527-9995

Publication Date

January 2023

Volume

171

Start / End Page

216 / 220

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Urinary Sphincter, Artificial
  • Urinary Incontinence, Stress
  • Urinary Catheterization
  • Retrospective Studies
  • Prostatic Neoplasms
  • Male
  • Humans
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Krughoff, K., Livingston, A. J., Inouye, B., Peterson, A. C., & Lentz, A. C. (2023). Indications and Outcomes for Intermittent Catheterization following Bulbar AUS Cuff Placement. Urology, 171, 216–220. https://doi.org/10.1016/j.urology.2022.10.013
Krughoff, Kevin, Austin J. Livingston, Brian Inouye, Andrew C. Peterson, and Aaron C. Lentz. “Indications and Outcomes for Intermittent Catheterization following Bulbar AUS Cuff Placement.Urology 171 (January 2023): 216–20. https://doi.org/10.1016/j.urology.2022.10.013.
Krughoff K, Livingston AJ, Inouye B, Peterson AC, Lentz AC. Indications and Outcomes for Intermittent Catheterization following Bulbar AUS Cuff Placement. Urology. 2023 Jan;171:216–20.
Krughoff, Kevin, et al. “Indications and Outcomes for Intermittent Catheterization following Bulbar AUS Cuff Placement.Urology, vol. 171, Jan. 2023, pp. 216–20. Pubmed, doi:10.1016/j.urology.2022.10.013.
Krughoff K, Livingston AJ, Inouye B, Peterson AC, Lentz AC. Indications and Outcomes for Intermittent Catheterization following Bulbar AUS Cuff Placement. Urology. 2023 Jan;171:216–220.
Journal cover image

Published In

Urology

DOI

EISSN

1527-9995

Publication Date

January 2023

Volume

171

Start / End Page

216 / 220

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Urinary Sphincter, Artificial
  • Urinary Incontinence, Stress
  • Urinary Catheterization
  • Retrospective Studies
  • Prostatic Neoplasms
  • Male
  • Humans
  • 3202 Clinical sciences
  • 1103 Clinical Sciences