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Eur Urol Focus: What is the effect of artificial urethral sphincter in the treatment of postoperative stress urinary incontinence?

 Last Update: 2021-10-20
 Source: Internet
 Author: User

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AMS 800 (Boston Scientific, American Medical Systems, Inc.
, Minnetonka, MN) artificial urethral sphincter (AUS) is the gold standard for surgical treatment of male patients with moderate to severe stress urinary incontinence (SUI)
.
Brantley Scott et al.

first described artificial urethral sphincter in 1973

Although artificial urethral sphincter (AUS) is the gold standard for the treatment of moderate to severe stress urinary incontinence (SUI) in men, and the effectiveness of this device in the treatment of urinary incontinence (PPI) after prostatectomy has been widely described, its The effect of urinary incontinence treatment after benign prostatic obstruction (BPO) surgery has not yet been fully investigated
.

However, its effect on the treatment of urinary incontinence after benign prostatic obstruction (BPO) surgery has not yet been fully investigated, but its effect on the treatment of urinary incontinence after benign prostatic obstruction (BPO) surgery has not been fully investigated yet

Recently, researchers from France published an article in "Eur Urol Focus", comparing the results of urinary incontinence in PPI patients after AUS implantation with the results of urinary incontinence after BPO surgery
.

The results of urinary incontinence after AUS implantation in PPI patients were compared with the results of urinary incontinence after AUS implantation after BPO surgery.
The results of urinary incontinence after AUS implantation in PPI patients were compared with the results of urinary incontinence after AUS implantation after BPO surgery.

The study investigated AUS implantation cases in 16 centers in France from 2005 to 2020
.
However, it only includes initial implant patients with moderate to severe SUI after prostatectomy or BPO surgery (excluding patients with radiotherapy, brachytherapy, cystectomy, high-intensity focused ultrasound therapy, or neurogenic disease)

Postoperative complications

In the study, the PPI group included 417 patients, and the BPO surgery group included 50 patients
.
The social urinary control rate at 3 months was similar between the two groups (79% vs 72%, P=0.

701)

Survival analysis comparison

In summary, their research supports AUS as the standard treatment for SUI after radical prostatectomy
.
The curative effect of urinary incontinence after BPO surgery is similar to that of PPI, but the incidence of complications is higher

Their research supports AUS as the standard treatment for SUI after radical prostatectomy

Original source:

Hugo Georges Arthur Dupuis, Imad Bentellis, Mehdi El-Akri et al.

Early Efficacy and Safety Outcomes of Artificial Urinary Sphincter for Stress Urinary Incontinence Following Radical Prostatectomy or Benign Prostatic Obstruction Surgery: Results of a Large Multicentric Study .

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