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1.
Asian Journal of Andrology ; (6): 45-50, 2020.
Artículo en Chino | WPRIM | ID: wpr-842497

RESUMEN

The artificial urinary sphincter (AUS) remains the standard of care in men with severe stress urinary incontinence (SUI) following prostate surgery and radiation. While the current AUS provides an effective, safe, and durable treatment option, it is not without its limitations and complications, especially with regard to its utility in some 'high-risk' populations. This article provides a critical review of relevant publications pertaining to AUS surgery in specific high-risk groups such as men with spinal cord injury, revision cases, concurrent penile prosthesis implant, and female SUI. The discussion of each category includes a brief review of surgical challenge and a practical action-based set of recommendations. Our increased understandings of the pathophysiology of various SUI cases coupled with effective therapeutic strategies to enhance AUS surgery continue to improve clinical outcomes of many patients with SUI.

2.
Asian Journal of Andrology ; (6): 39-44, 2020.
Artículo en Chino | WPRIM | ID: wpr-842496

RESUMEN

Penile prosthesis implant (PPI) remains an effective and safe treatment option for men with erectile dysfunction (ED). However, PPI surgery can be associated with a higher risk of complications in certain populations. This article provides a critical review of relevant publications pertaining to PPI in men with diabetes, significant corporal fibrosis, spinal cord injury, concurrent continence surgery, and complex salvage cases. The discussion of each category of special populations includes a brief review of the surgical challenges and a practical action-based set of recommendations. While specific patient populations posed considerable challenges in PPI surgery, strict pre- and postoperative management coupled with safe surgical practice is a prerequisite to achieving excellent clinical outcomes and high patient satisfaction rate.

3.
Asian Journal of Andrology ; (6): 39-44, 2020.
Artículo en Inglés | WPRIM | ID: wpr-1009779

RESUMEN

Penile prosthesis implant (PPI) remains an effective and safe treatment option for men with erectile dysfunction (ED). However, PPI surgery can be associated with a higher risk of complications in certain populations. This article provides a critical review of relevant publications pertaining to PPI in men with diabetes, significant corporal fibrosis, spinal cord injury, concurrent continence surgery, and complex salvage cases. The discussion of each category of special populations includes a brief review of the surgical challenges and a practical action-based set of recommendations. While specific patient populations posed considerable challenges in PPI surgery, strict pre- and postoperative management coupled with safe surgical practice is a prerequisite to achieving excellent clinical outcomes and high patient satisfaction rate.


Asunto(s)
Humanos , Masculino , Complicaciones de la Diabetes , Diabetes Mellitus , Disfunción Eréctil/cirugía , Implantación de Pene , Induración Peniana/cirugía , Prótesis de Pene , Priapismo/cirugía , Infecciones Relacionadas con Prótesis/prevención & control , Terapia Recuperativa , Traumatismos de la Médula Espinal/complicaciones , Cabestrillo Suburetral , Infección de la Herida Quirúrgica/prevención & control , Incontinencia Urinaria/cirugía , Esfínter Urinario Artificial
4.
Asian Journal of Andrology ; (6): 45-50, 2020.
Artículo en Inglés | WPRIM | ID: wpr-1009778

RESUMEN

The artificial urinary sphincter (AUS) remains the standard of care in men with severe stress urinary incontinence (SUI) following prostate surgery and radiation. While the current AUS provides an effective, safe, and durable treatment option, it is not without its limitations and complications, especially with regard to its utility in some "high-risk" populations. This article provides a critical review of relevant publications pertaining to AUS surgery in specific high-risk groups such as men with spinal cord injury, revision cases, concurrent penile prosthesis implant, and female SUI. The discussion of each category includes a brief review of surgical challenge and a practical action-based set of recommendations. Our increased understandings of the pathophysiology of various SUI cases coupled with effective therapeutic strategies to enhance AUS surgery continue to improve clinical outcomes of many patients with SUI.


Asunto(s)
Femenino , Humanos , Masculino , Disfunción Eréctil/cirugía , Implantación de Pene , Implantación de Prótesis/métodos , Reoperación , Traumatismos de la Médula Espinal/complicaciones , Vejiga Urinaria Neurogénica/cirugía , Incontinencia Urinaria de Esfuerzo/cirugía , Esfínter Urinario Artificial
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