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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.
Artigo em Inglês | 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.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Análise Multivariada / Estudos Retrospectivos / Fatores de Risco / Estudos de Coortes / Esfíncter Urinário Artificial Tipo de estudo: Estudo de etiologia / Estudo de incidência / Estudo observacional / Estudo prognóstico Limite: Humanos / Masculino Idioma: Inglês Revista: International Neurourology Journal Ano de publicação: 2019 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Análise Multivariada / Estudos Retrospectivos / Fatores de Risco / Estudos de Coortes / Esfíncter Urinário Artificial Tipo de estudo: Estudo de etiologia / Estudo de incidência / Estudo observacional / Estudo prognóstico Limite: Humanos / Masculino Idioma: Inglês Revista: International Neurourology Journal Ano de publicação: 2019 Tipo de documento: Artigo