Artificial Urinary Sphincter Cuff Size Predicts Outcome in Male Patients Treated for Stress Incontinence: Results of a Large Central European Multicenter Cohort Study / 대한배뇨장애요실금학회지
International Neurourology Journal
;
: 219-225, 2019.
Article
in English
| WPRIM
| ID: wpr-764121
ABSTRACT
PURPOSE:
The aim was to study the correlation between cuff size and outcome after implantation of an AMS 800 artificial urinary sphincter.METHODS:
A total of 473 male patients with an AMS 800 sphincter implanted between 2012 and 2014 were analyzed in a retrospective multicenter cohort study performed as part of the Central European Debates on Male Incontinence (DOMINO) Project.RESULTS:
Single cuffs were implanted in 54.5% and double cuffs in 45.5% of the patients. The cuffs used had a median circumference of 4.5 cm. Within a median follow of 18 months, urethral erosion occurred in 12.8% of the cases and was associated significantly more often with small cuff sizes (P<0.001). Multivariate analysis showed that, apart from cuff size (P=0.03), prior irradiation (P<0.001) and the penoscrotal approach (P=0.036) were associated with an increased erosion rate. Continence rate tended to be highest with median cuff sizes (4–5.5 cm).CONCLUSIONS:
Apart from irradiation and the penoscrotal approach, small cuff size is a risk factor for urethral erosion. Results are best with cuff sizes of 4.5–5.5 cm.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Multivariate Analysis
/
Retrospective Studies
/
Risk Factors
/
Cohort Studies
/
Urinary Sphincter, Artificial
Type of study:
Etiology study
/
Incidence study
/
Observational study
/
Prognostic study
Limits:
Humans
/
Male
Language:
English
Journal:
International Neurourology Journal
Year:
2019
Type:
Article
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