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Artificial sphincter insertion after radiotherapy: is it worthwhile?
Author(s) -
Manunta A.,
Guillé F.,
Patard J.J.,
Lobel B.
Publication year - 2000
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1046/j.1464-410x.2000.00484.x
Subject(s) - radiation therapy , medicine , artificial urinary sphincter , complication , sphincter , surgery , urinary incontinence
Objective To determine the influence of radiotherapy on the outcome of artificial urinary sphincter implantation. Patients and methods A series of 72 men who had an artificial urinary sphincter inserted were reviewed retrospectively, analysing in detail the information from 15 patients with a past history of pelvic radiotherapy. Results In those who had undergone radiotherapy, the complication rate was higher, both for re‐operation (eight of 15) and infection (three); 11 of the 15 patients were continent after surgery, compared with 51 (89%) of the 57 in the unirradiated group. Conclusions An artificial sphincter can be inserted after pelvic radiotherapy reasonably successfully, but at the cost of a high complication and re‐operation rate. Patients with a previous history of radiotherapy should be informed of the higher risk of surgical revision associated with insertion of the prosthesis.