artificial urinary sphincter

Summary

Summary: An artifical implanted device, usually in the form of an inflatable silicone cuff, inserted in or around the bladder neck in the surgical treatment of urinary incontinence caused by sphincter weakness. Often it is placed around the bulbous urethra in adult males. The artificial urinary sphincter is considered an alternative to urinary diversion.

Top Publications

  1. Guralnick M, Miller E, Toh K, Webster G. Transcorporal artificial urinary sphincter cuff placement in cases requiring revision for erosion and urethral atrophy. J Urol. 2002;167:2075-8; discussion 2079 pubmed
    A distal cuff location is often required in patients undergoing artificial urinary sphincter reimplantation after previous erosion or in those requiring revision because of urethral atrophy at the original cuff site...
  2. Raj G, Peterson A, Toh K, Webster G. Outcomes following revisions and secondary implantation of the artificial urinary sphincter. J Urol. 2005;173:1242-5 pubmed
    Durable success with the artificial urinary sphincter (AUS) is common but device revision and replacement are often needed for various reasons...
  3. Patki P, Hamid R, Shah P, Craggs M. Long-term efficacy of AMS 800 artificial urinary sphincter in male patients with urodynamic stress incontinence due to spinal cord lesion. Spinal Cord. 2006;44:297-300 pubmed
    ..To evaluate long-term efficacy and complications of AMS 800 (American Medical Systems) artificial urinary sphincter (AUS) in treatment of urodynamic stress incontinence (USI) in male patients with spinal cord lesion (..
  4. Elliott D, Barrett D. The artificial urinary sphincter in the female: indications for use, surgical approach and results. Int Urogynecol J Pelvic Floor Dysfunct. 1998;9:409-15 pubmed
    ..Among the many treatment options a few patients may be suitable candidates for the artificial urinary sphincter (AUS)...
  5. Hajivassiliou C. A review of the complications and results of implantation of the AMS artificial urinary sphincter. Eur Urol. 1999;35:36-44 pubmed
    ..5% and mechanical complications in 14% of cases. The complications relating to the AMS artificial urinary sphincter are analyzed. The majority of patients (> 85%) required only one revision...
  6. Roupret M, Misrai V, Vaessen C, Cardot V, Cour F, Richard F, et al. Laparoscopic approach for artificial urinary sphincter implantation in women with intrinsic sphincter deficiency incontinence: a single-centre preliminary experience. Eur Urol. 2010;57:499-504 pubmed publisher
    Implantation of an artificial urinary sphincter (AUS) is used as a last resort in women with stress urinary incontinence (SUI). To assess the early functional outcome after laparoscopic placement of an AUS in women...
  7. Ngninkeu B, van Heugen G, Di Gregorio M, Debie B, Evans A. Laparoscopic artificial urinary sphincter in women for type III incontinence: preliminary results. Eur Urol. 2005;47:793-7; discussion 797 pubmed
    ..Minnetonka, Minnesota) artificial urinary sphincter in women with type III incontinence...
  8. Lee R, Te A, Kaplan S, Sandhu J. Temporal trends in adoption of and indications for the artificial urinary sphincter. J Urol. 2009;181:2622-7 pubmed publisher
    The introduction of the artificial urinary sphincter represented a significant advance in treating urinary incontinence...
  9. Raj G, Peterson A, Webster G. Outcomes following erosions of the artificial urinary sphincter. J Urol. 2006;175:2186-90; discussion 2190 pubmed
    b>Artificial urinary sphincter urethral cuff erosion occurs in up to 5.0% of cases, presenting a complex management problem...

Scientific Experts

More Information

Publications62

  1. Siracusano S, Ciciliato S, Benedetto P, Marega D, Tiberio A, Stacul F. An unusual use of AMS 800 artificial urinary sphincter cuff in the treatment of sphincteric neurogenic incontinence: case report. Spinal Cord. 2004;42:652-4 pubmed
    Case report of an unusual use of AMS 800 (American Medical Systems, Inc., Minnetonka, Minnesota) artificial urinary sphincter cuff in a female patient affected by neurogenic urinary incontinence. To describe this rare surgical solution...
  2. Petrou S. Treatment of postprostatectomy incontinence: is the bulbourethral sling a viable alternative to the artificial urinary sphincter?. Curr Urol Rep. 2002;3:360-4 pubmed
    ..In addition, a comparison is made between the bulbourethral sling and the artificial urinary sphincter with a discussion of various facets of these devices...
  3. Thomas K, Venn S, Mundy A. Outcome of the artificial urinary sphincter in female patients. J Urol. 2002;167:1720-2 pubmed
    We reviewed the outcome in female patients at our unit in whom an artificial urinary sphincter was inserted. We reviewed notes on 68 patients and mailed a questionnaire to those without recent followup...
  4. Gomha M, Boone T. Artificial urinary sphincter for post-prostatectomy incontinence in men who had prior radiotherapy: a risk and outcome analysis. J Urol. 2002;167:591-6 pubmed
    We retrospectively reviewed our experience with the artificial urinary sphincter for post-prostatectomy incontinence, comparing the outcome of those patients who did and did not receive previous radiation therapy...
  5. Costa P, Mottet N, Rabut B, Thuret R, Ben Naoum K, Wagner L. The use of an artificial urinary sphincter in women with type III incontinence and a negative Marshall test. J Urol. 2001;165:1172-6 pubmed
    We evaluate the efficacy of the AMS 800 artificial urinary sphincter in women with type III incontinence. We enrolled 207 women with genuine stress incontinence due to intrinsic sphincter deficiency...
  6. Walsh I, Williams S, Mahendra V, Nambirajan T, Stone A. Artificial urinary sphincter implantation in the irradiated patient: safety, efficacy and satisfaction. BJU Int. 2002;89:364-8 pubmed
    To compare the long-term outcome of artificial urinary sphincter (AUS) implantation in patients after prostatectomy, with and with no history of previous irradiation...
  7. Garcia Montes F. [FlowSecure artificial urinary sphincter for the treatment of stress urinary incontinence after radical prostatectomy]. Arch Esp Urol. 2009;62:845-50 pubmed
    ..technique of a new prosthesis for the treatment of stress urinary incontinence, the Flow Secure artificial urinary sphincter. The prosthesis is a single silicone piece filled with saline solution which has the following parts: (..
  8. Arai Y, Takei M, Nonomura K, Baba S, Habuchi T, Matsuda T, et al. Current use of the artificial urinary sphincter and its long-term durability: a nationwide survey in Japan. Int J Urol. 2009;16:101-4 pubmed publisher
    Although the artificial urinary sphincter (AUS) is one of the most effective surgical treatments for severe urinary incontinence, little is known about its use in Japan...
  9. Henry G, Graham S, Cleves M, Simmons C, Flynn B. Perineal approach for artificial urinary sphincter implantation appears to control male stress incontinence better than the transscrotal approach. J Urol. 2008;179:1475-9; discussion 1479 pubmed publisher
    Traditionally cuff placement of an artificial urinary sphincter is done through a perineal approach. A new approach through a penoscrotal incision or transscrotal approach is reportedly more rapid and easier than the traditional incision...
  10. O Connor R, Lyon M, Guralnick M, Bales G. Long-term follow-up of single versus double cuff artificial urinary sphincter insertion for the treatment of severe postprostatectomy stress urinary incontinence. Urology. 2008;71:90-3 pubmed publisher
    To assess the long-term effectiveness and complications associated with single and double cuff artificial urinary sphincter (AUS) implantation for the treatment of severe postprostatectomy stress urinary incontinence (SUI)...
  11. Garcia Montes F, Vicens Vicens A, Ozonas Moragues M, Piza Reus P, Mora Salvá A, Mundy A, et al. ["FlowSecure" artificial urinary sphincter: a new adjustable artificial urinary sphincter concept with conditional occlusion for stress urinary incontinence]. Actas Urol Esp. 2007;31:872-9 pubmed
    ..Surgical implantation of the new FlowSecure artificial urinary sphincter is an easy procedure in males with stress urinary incontinence. Knigth et al...
  12. Elliott D, Barrett D, Gohma M, Boone T. Does nocturnal deactivation of the artificial urinary sphincter lessen the risk of urethral atrophy?. Urology. 2001;57:1051-4 pubmed
    To compare nocturnal deactivation with nocturnal activation of the artificial urinary sphincter (AUS) to determine whether nocturnal deactivation reduces the risk of urethral atrophy and subsequent recurrent incontinence...
  13. Tse V, Stone A. Incontinence after prostatectomy: the artificial urinary sphincter. BJU Int. 2003;92:886-9 pubmed
  14. Clemens J, Schuster T, Konnak J, McGuire E, Faerber G. Revision rate after artificial urinary sphincter implantation for incontinence after radical prostatectomy: actuarial analysis. J Urol. 2001;166:1372-5 pubmed
    ..of 70 consecutive patients who were incontinent after radical prostatectomy and who underwent primary artificial urinary sphincter implantation at the University of Michigan between 1984 and 1999...
  15. Gonzalez R, Jednak R, Franc Guimond J, Schimke C. Treating neuropathic incontinence in children with seromuscular colocystoplasty and an artificial urinary sphincter. BJU Int. 2002;90:909-11 pubmed
    To review the results of artificial urinary sphincter (AUS) implantation combined with seromuscular colocystoplasty (SCLU) in the treatment of mixed neurogenic urinary incontinence in children...
  16. Alonso Rodríguez D, Fernández Barranco L, Garcia Montes F, Mora Salvá A, Ozonas Moragues M. [Follow-up of the FlowSecure artificial urinary sphincter]. Actas Urol Esp. 2009;33:952-5 pubmed
    The AMS-800 artificial urinary sphincter has been the only prosthesis available for treatment of stress urinary incontinence refractory to other therapeutic modalities for the past 25 years...
  17. Bestard Vallejo J, Garcia Montes F, Cecchini Rosell L, Mir Maresma C, Morote Robles J. [Implantation technique of the artificial urinary sphincter "FlowSecure" in the bulbar urethra]. Arch Esp Urol. 2009;62:195-200 pubmed
    b>Artificial urinary sphincter "FlowSecure" is a prosthesis designed for stress urinary incontinence that has achieved excellent results...
  18. Gousse A, Madjar S, Lambert M, Fishman I. Artificial urinary sphincter for post-radical prostatectomy urinary incontinence: long-term subjective results. J Urol. 2001;166:1755-8 pubmed
    Incontinence affects between 3% and 60% of patients after radical prostatectomy. Insertion of an artificial urinary sphincter is a mainstay therapeutic option available to these patients...
  19. Lai H, Hsu E, Teh B, Butler E, Boone T. 13 years of experience with artificial urinary sphincter implantation at Baylor College of Medicine. J Urol. 2007;177:1021-5 pubmed
    We reviewed 13 years of experience with artificial urinary sphincter implantation (narrow backed cuff) at a single institution...
  20. Elliott D, Boone T. Combined stent and artificial urinary sphincter for management of severe recurrent bladder neck contracture and stress incontinence after prostatectomy: a long-term evaluation. J Urol. 2001;165:413-5 pubmed
    ..incisions and resections, and the need for frequent instrumentation are contraindications for artificial urinary sphincter placement...
  21. Sellers C, Morey A, Jones L. Cost and time benefits of dual implantation of inflatable penile and artificial urinary sphincter prosthetics by single incision. Urology. 2005;65:852-3 pubmed
    ..The results of our study have shown that dual prosthetic implantation through a single incision is safe, efficient, and cost-effective. ..
  22. Aaronson D, Elliott S, McAninch J. Transcorporal artificial urinary sphincter placement for incontinence in high-risk patients after treatment of prostate cancer. Urology. 2008;72:825-7 pubmed publisher
    To investigate the transcorporal (TC) vs standard (ST) approach of artificial urinary sphincter (AUS) placement for incontinence after treatment of prostate adenocarcinoma (PCa) with radiotherapy or surgery, or both...
  23. Garcia Montes F, Knight S, Greenwell T, Mundy A, Craggs M. ["Flowsecure" artificial urinary sphincter: a new adjustable artificial urinary sphincter concept with conditional occlusion for stress urinary incontinence]. Actas Urol Esp. 2007;31:752-8 pubmed
    To spread de concept of a new artificial urinary sphincter with conditional occlusion for stress incontinence. The new prototype was conceived and designed in The Institute of Urology and Nephrology of London by Professor Craggs M...
  24. Magera J, Inman B, Elliott D. Outcome analysis of urethral wall stent insertion with artificial urinary sphincter placement for severe recurrent bladder neck contracture following radical prostatectomy. J Urol. 2009;181:1236-41 pubmed publisher
    ..post-radical prostatectomy bladder neck contracture with urethral wall stent insertion and subsequent artificial urinary sphincter placement...
  25. Hussain M, Greenwell T, Venn S, Mundy A. The current role of the artificial urinary sphincter for the treatment of urinary incontinence. J Urol. 2005;174:418-24 pubmed
    The introduction of the artificial urinary sphincter (AUS) in 1972 was heralded as a revolution for the treatment of genuine stress incontinence. Initial enthusiasm was tempered by disappointment as complications occurred...
  26. Mancini J, Kizer W, Jones L, Mora R, Morey A. Patient satisfaction after dual implantation of inflatable penile and artificial urinary sphincter prostheses. Urology. 2008;71:893-6 pubmed publisher
    Since description of the transverse scrotal approach for artificial urinary sphincter (AUS) placement, simultaneous implantation of an inflatable penile prosthesis (IPP) and AUS through a single incision has been shown to constitute safe, ..
  27. Henry G, Graham S, Cornell R, Cleves M, Simmons C, Vakalopoulos I, et al. A multicenter study on the perineal versus penoscrotal approach for implantation of an artificial urinary sphincter: cuff size and control of male stress urinary incontinence. J Urol. 2009;182:2404-9 pubmed publisher
    In a single center retrospective study we previously reported superior dry rates and fewer artificial urinary sphincter revisions when the sphincter cuff was placed via the traditional perineal approach compared with a penoscrotal ..
  28. Knight S, Susser J, Greenwell T, Mundy A, Craggs M. A new artificial urinary sphincter with conditional occlusion for stress urinary incontinence: preliminary clinical results. Eur Urol. 2006;50:574-80 pubmed
    To perform a preliminary clinical investigation to determine the safety and efficacy of a novel artificial urinary sphincter (AUS) with conditional occlusion for the treatment of stress urinary incontinence...
  29. O Connor R, Nanigian D, Patel B, Guralnick M, Ellision L, Stone A. Artificial urinary sphincter placement in elderly men. Urology. 2007;69:126-8 pubmed
    To evaluate the outcomes of primary artificial urinary sphincter (AUS) placement for the treatment of postprostatectomy stress urinary incontinence in patients aged 75 years or older at surgery...
  30. Kumar A, Litt E, Ballert K, Nitti V. Artificial urinary sphincter versus male sling for post-prostatectomy incontinence--what do patients choose?. J Urol. 2009;181:1231-5 pubmed publisher
    ..Long-term data are lacking to determine whether the male sling is as effective as the artificial urinary sphincter, which is the current gold standard...
  31. Rahman N, Minor T, Deng D, Lue T. Combined external urethral bulking and artificial urinary sphincter for urethral atrophy and stress urinary incontinence. BJU Int. 2005;95:824-6 pubmed
    ..To describe a technique of externally bulking the urethra with a soft-tissue graft before placing another artificial urinary sphincter (AUS), as when placing another AUS for recurrent male stress urinary incontinence (SUI) other ..
  32. Tuygun C, Imamoglu A, Gucuk A, Goktug G, Demirel F. Comparison of outcomes for adjustable bulbourethral male sling and artificial urinary sphincter after previous artificial urinary sphincter erosion. Urology. 2009;73:1363-7 pubmed publisher
    To compare the outcomes of the adjustable bulbourethral male sling and artificial urinary sphincter (AUS) in patients with recurrent postprostatectomy incontinence after previous AUS erosion...
  33. Montague D, Angermeier K. Artificial urinary sphincter troubleshooting. Urology. 2001;58:779-82 pubmed
    An approach to solving the problem of persistent or recurrent urinary incontinence after artificial urinary sphincter implantation is presented...
  34. Magera J, Elliott D. Artificial urinary sphincter infection: causative organisms in a contemporary series. J Urol. 2008;180:2475-8 pubmed publisher
    ..aureus infection poses a serious problem. We determined the organisms that produce artificial urinary sphincter infection in a contemporary series...
  35. Thiel D, Young P, Broderick G, Heckman M, Wehle M, Igel T, et al. Do clinical or urodynamic parameters predict artificial urinary sphincter outcome in post-radical prostatectomy incontinence?. Urology. 2007;69:315-9 pubmed
    To determine whether urodynamic or clinical parameters can predict artificial urinary sphincter (AUS) outcome in patients who were incontinent after radical prostatectomy (RP)...
  36. Lai H, Hsu E, Boone T. Urodynamic testing in evaluation of postradical prostatectomy incontinence before artificial urinary sphincter implantation. Urology. 2009;73:1264-9 pubmed publisher
    ..presence of adverse preoperative urodynamic features negatively affects the continence results after artificial urinary sphincter (AUS) surgery...
  37. O Connor R, Kuznetsov D, Patel R, Galocy R, Steinberg G, Bales G. Artificial urinary sphincter placement in men after cystectomy with orthotopic ileal neobladder: continence, complications, and quality of life. Urology. 2002;59:542-5 pubmed
    To review our experience regarding the overall efficacy and safety of an artificial urinary sphincter (AUS) in men with stress urinary incontinence (SUI) after cystoprostatectomy with an orthotopic ileal neobladder...
  38. Fisher M, Aggarwal N, Vuruskan H, Singla A. Efficacy of artificial urinary sphincter implantation after failed bone-anchored male sling for postprostatectomy incontinence. Urology. 2007;70:942-4 pubmed
    To evaluate the feasibility and efficacy of artificial urinary sphincter placement after failed bone-anchored male sling for postprostatectomy stress urinary incontinence...
  39. Magera J, Inman B, Elliott D. Does preoperative topical antimicrobial scrub reduce positive surgical site culture rates in men undergoing artificial urinary sphincter placement?. J Urol. 2007;178:1328-32; discussion 1332 pubmed
    ..site-positive culture was reduced by a 5-day topical antimicrobial scrub before implantation of an artificial urinary sphincter. A single surgeon prospective cohort study was conducted of 100 consecutive artificial urinary ..
  40. Saffarian A, Walsh K, Walsh I, Stone A. Urethral atrophy after artificial urinary sphincter placement: is cuff downsizing effective?. J Urol. 2003;169:567-9 pubmed
    We reviewed the outcome of cuff downsizing with an artificial urinary sphincter for treating recurrent incontinence due to urethral atrophy...
  41. Petero V, Diokno A. Comparison of the long-term outcomes between incontinent men and women treated with artificial urinary sphincter. J Urol. 2006;175:605-9 pubmed
    ..There were no differences in overall satisfactory continence and device failure rates. However, women have a higher dry rate (0 pad use) and longer functioning device duration compared to their male counterparts. ..
  42. Webster G, Sherman N. Management of male incontinence following artificial urinary sphincter failure. Curr Opin Urol. 2005;15:386-90 pubmed
    The artificial urinary sphincter has been used successfully for the treatment of stress urinary incontinence in both male and female patients. Its most common use, however, is in men suffering from postprostatectomy incontinence...
  43. Imamoglu M, Tuygun C, Bakirtas H, Yigitbasi O, Kiper A. The comparison of artificial urinary sphincter implantation and endourethral macroplastique injection for the treatment of postprostatectomy incontinence. Eur Urol. 2005;47:209-13 pubmed
    To compare the effectiveness of macroplastique injection with artificial urinary sphincter implantation (AUS) for treatment of postprostatectomy incontinence (PPI)...
  44. Dimarco D, Elliott D. Tandem cuff artificial urinary sphincter as a salvage procedure following failed primary sphincter placement for the treatment of post-prostatectomy incontinence. J Urol. 2003;170:1252-4 pubmed
    Management of post-artificial urinary sphincter (AUS) urethral atrophy can be difficult for the treating physician, yielding unsatisfactory results for the patient...
  45. Morey A. Ectopic placement of AMS 800 urinary control system pressure-regulating balloon. J Urol. 2005;174:969 pubmed
  46. Theodorou C, Moutzouris G, Floratos D, Plastiras D, Katsifotis C, Mertziotis N. Incontinence after surgery for benign prostatic hypertrophy: the case for complex approach and treatment. Eur Urol. 1998;33:370-5 pubmed
    ..Thirty-seven patients were subjected to treatment, 27 (73%) of them to single-modality treatment (artificial urinary sphincter insertion, oxybutynin chloride, transurethral prostatectomy, optical urethrotomy) and the other 10 (27%)..
  47. Ghoniem G. Surgical management of intrinsic sphincter deficiency in women. Curr Opin Urol. 2000;10:245-50 pubmed
    ..The present review describes the current concepts and surgical approaches to intrinsic sphincter deficiency, namely slings, injectables, and artificial sphincters. ..
  48. Maillet F, Buzelin J, Bouchot O, Karam G. Management of artificial urinary sphincter dysfunction. Eur Urol. 2004;46:241-5; discussion 246 pubmed
    The long-term outcome of artificial urinary sphincter (AUS) is unpredictable because of, among others, the risk of breakdown of one of its components...
  49. Herndon C, Rink R, Shaw M, Cain M, Casale A. Experience with non-cycled artificial urinary sphincters. BJU Int. 2004;93:1049-52 pubmed
    To report our experience in children and adolescents with a non-cycled artificial urinary sphincter. While some children with the AUS can void, others require clean intermittent catheterization (CIC) through the sphincter or an ..
  50. Spiess P, Capolicchio J, Kiruluta G, Salle J, Berardinucci G, Corcos J. Is an artificial sphincter the best choice for incontinent boys with Spina Bifida? Review of our long term experience with the AS-800 artificial sphincter. Can J Urol. 2002;9:1486-91 pubmed
    ..our long-term experience in a uniform population of Spina Bifida boys all treated with the AS-800 model artificial urinary sphincter (AUS) and compare our results to other treatment modalities available to children with neurogenic ..
  51. Kryger J, Leverson G, Gonzalez R. Long-term results of artificial urinary sphincters in children are independent of age at implantation. J Urol. 2001;165:2377-9 pubmed
    The long-term success and efficacy of the artificial urinary sphincter for the management of neurogenic incontinence have been well documented...
  52. Dalkin B, Wessells H, Cui H. A national survey of urinary and health related quality of life outcomes in men with an artificial urinary sphincter for post-radical prostatectomy incontinence. J Urol. 2003;169:237-9 pubmed
    We determine health related quality of life and urinary outcomes of men undergoing implantation of an artificial urinary sphincter for post-radical prostatectomy incontinence...
  53. Hassan J, Gomelsky A, Dmochowski R. Artificial urinary sphincter migration causing obstructive renal failure in a solitary kidney. J Urol. 2003;170:925 pubmed