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Successful outcome of artificial urinary sphincters in men with post-prostatectomy urinary incontinence despite adverse implantation features.

Publication ,  Journal Article
Pérez, LM; Webster, GD
Published in: J Urol
October 1992

A total of 75 men with post-prostatectomy urinary incontinence underwent artificial urinary sphincter implantation with a mean followup of 3.7 years. Average patient age at implantation was 67 years, with 30 men being 70 years old or older. In only 15 men (20%) was there no adverse implantation feature, while the remainder had adverse features, such as detrusor hyperactivity (44), bladder neck or urethral stricture disease (27), previous radiation therapy (11) and metastatic prostate cancer (11). Although men with ideal implantation characteristics, men with normal detrusors and men who underwent prostatectomy for benign disease had slightly better outcome in terms of urinary continence, in general each group of men with and without adverse features had satisfactory urinary continence. Other than men with a benign prostate, who fared better, each group of men with and without adverse features had equal need for device revisions. In conclusion, men with post-prostatectomy urinary incontinence should not be excluded from consideration for artificial urinary sphincter implantation based on the failure to meet ideal implantation criteria provided such adverse features are recognized and appropriately addressed.

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Published In

J Urol

DOI

ISSN

0022-5347

Publication Date

October 1992

Volume

148

Issue

4

Start / End Page

1166 / 1170

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Urinary Incontinence
  • Treatment Outcome
  • Reoperation
  • Remission Induction
  • Prosthesis Failure
  • Prostheses and Implants
  • Prostatic Neoplasms
  • Prostatectomy
  • Patient Satisfaction
 

Citation

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Pérez, L. M., & Webster, G. D. (1992). Successful outcome of artificial urinary sphincters in men with post-prostatectomy urinary incontinence despite adverse implantation features. J Urol, 148(4), 1166–1170. https://doi.org/10.1016/s0022-5347(17)36850-7
Pérez, L. M., and G. D. Webster. “Successful outcome of artificial urinary sphincters in men with post-prostatectomy urinary incontinence despite adverse implantation features.J Urol 148, no. 4 (October 1992): 1166–70. https://doi.org/10.1016/s0022-5347(17)36850-7.
Pérez, L. M., and G. D. Webster. “Successful outcome of artificial urinary sphincters in men with post-prostatectomy urinary incontinence despite adverse implantation features.J Urol, vol. 148, no. 4, Oct. 1992, pp. 1166–70. Pubmed, doi:10.1016/s0022-5347(17)36850-7.
Journal cover image

Published In

J Urol

DOI

ISSN

0022-5347

Publication Date

October 1992

Volume

148

Issue

4

Start / End Page

1166 / 1170

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Urinary Incontinence
  • Treatment Outcome
  • Reoperation
  • Remission Induction
  • Prosthesis Failure
  • Prostheses and Implants
  • Prostatic Neoplasms
  • Prostatectomy
  • Patient Satisfaction