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Diagnostic challenges in the evaluation of persistent or recurrent urinary incontinence after artificial urinary sphincter ( AUS ) implantation in patients after prostatectomy
Author(s) -
Chung Eric,
Cartmill Ross
Publication year - 2013
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 - 10.1111/bju.12207
Subject(s) - artificial urinary sphincter , medicine , cuff , urinary incontinence , urethral sphincter , prostatectomy , urology , sphincter , surgery , overactive bladder , prostate , pathology , cancer , alternative medicine
There is a lack of information pertaining to the postoperative evaluation in patients with artificial urinary sphincter ( AUS ) implants who complain and continue to have urinary incontinence ( UI ). Two types of UI can occur after the activation of an AUS device these are: early or initial (persistent) UI , and delayed (recurrent) UI . There are many causes of persistent and/or recurrent UI and these can sometimes overlap. The potential causes include improper and/or accidental operation of the pump‐control unit, overactive bladder, cuff atrophy, cuff erosion, improper cuff size and pressure‐regulating balloon unit, as well as device malfunctions. The diagnostic evaluation in men with persistent and/or recurrent UI after AUS implantation requires sufficient understanding of the AUS mechanics and is a step‐wise and logical process with careful history and thorough clinical evaluation. Once a diagnosis is made, patients should be counselled and appropriate treatment instituted.