Factors effecting the outcomes of artificial urinary sphincter placement: a single-center study

Authors : Mustafa Murat AYDOS, Volkan ÇAGLAYAN

Pages : 276-282

Doi:10.18621/eurj.503382

View : 14 | Download : 7

Publication Date : 2020-07-04

Article Type : Research Paper

Abstract :Objectives: To evaluate the patients who underwent artificial urinary sphincter insert ignore into journalissuearticles values(AUS); placement and report outcomes of the procedure. Methods: From March 2008 to February 2017, the data of patients who have undergone AUS placement were evaluated retrospectively. Age, body-mass index insert ignore into journalissuearticles values(BMI);, comorbidities, education level, previous radiotherapy insert ignore into journalissuearticles values(RT); history of the patients were recorded. Cognitive status was examined using the Mini Mental Status Examination test insert ignore into journalissuearticles values(MMSE);. International Consultation on Incontinence Questionnaire Short Form insert ignore into journalissuearticles values(ICIQ-SF); was completed pre- and post-operatively. Quality of life and satisfaction of patients were evaluated using Patient Global Impression of Improvement insert ignore into journalissuearticles values(PGI-I); scale. To analyze factors effecting success and revision rates, patients were grouped according to age, BMI, comorbidities, smoking habbit, previous RT history and etiology of incontinence. Treatment success was defined as requirement of ≤ 1/day. Results: A total of 61 patients were included in the study and each were cognitive intact insert ignore into journalissuearticles values(MMSE > 25);. ICIQ-SF significantly improved in postoperative period insert ignore into journalissuearticles values( p < 0.001);. PGI-I median score was 1 insert ignore into journalissuearticles values(1-4); in postoperative period. Success rate was 96.7% insert ignore into journalissuearticles values(n = 59); and 47 insert ignore into journalissuearticles values(77%); patients were complete dry. Revision requirement occured in 10 insert ignore into journalissuearticles values(16.4%); patients. When patient groups were compared according to the success and revision rates; presence of BMI > 25 kg/m2 was the only significant factor associated with revision requirement and there was no significant factor associated with success status. Conclusion: AUS placement is a safe and effective method in the treatment of post-prostatectomy incontinence insert ignore into journalissuearticles values(PPI);. Success and revision rates are similar regardless the etiology of PPI. Cognitive functions of patients may be crucial in the postoperative satisfaction status. 
Keywords : Artificial urinary sphincter, post prostatectomy incontinence, male incontinence