Urethral Strictures and Artificial Urinary Sphincter Placement

Jeremy B Myers; William O Brant; James N Hotaling; Sara M Lenherr

doi:10.1016/j.ucl.2016.08.010

Urethral Strictures and Artificial Urinary Sphincter Placement

Urol Clin North Am. 2017 Feb;44(1):93-103. doi: 10.1016/j.ucl.2016.08.010.

Authors

Jeremy B Myers¹, William O Brant², James N Hotaling², Sara M Lenherr²

Affiliations

¹ Genitourinary Injury and Reconstructive Urology, Department of Surgery, University of Utah, 30 North 1900 East, Room # 3B420, Salt Lake City, UT 84132, USA. Electronic address: Jeremy.myers@hsc.utah.edu.
² Genitourinary Injury and Reconstructive Urology, Department of Surgery, University of Utah, 30 North 1900 East, Room # 3B420, Salt Lake City, UT 84132, USA.

PMID: 27908376
DOI: 10.1016/j.ucl.2016.08.010

Abstract

Patients undergoing artificial urinary sphincter (AUS) placement often have complex medical and surgical histories, such as radical prostatectomy, endoscopic treatment of urethral strictures, previous AUS placement, and prior open urethral surgery. Urethral strictures at the bladder neck, membranous urethra, or site of a previous AUS erosion are problems that profoundly affect the timing and treatment success of AUS placement. Understanding the complexities and outcomes in this subset of patients is the only way to inform shared decision making about treatment of urinary incontinence.

Keywords: Artificial urinary sphincter; Complication; Erosion; Incontinence; Urethral stricture.

Publication types

Review

MeSH terms

Humans
Male
Prostatectomy / adverse effects*
Treatment Outcome
Urethra / surgery*
Urethral Stricture / etiology
Urethral Stricture / surgery*
Urinary Sphincter, Artificial*