Diagnostic challenges in the evaluation of persistent or recurrent urinary incontinence after artificial urinary sphincter (AUS) implantation in patients after prostatectomy

Chung, Eric and Cartmill, Ross (2013) Diagnostic challenges in the evaluation of persistent or recurrent urinary incontinence after artificial urinary sphincter (AUS) implantation in patients after prostatectomy. Bju International, 112 Supp. 2: 32-35. doi:10.1111/bju.12207


Author Chung, Eric
Cartmill, Ross
Title Diagnostic challenges in the evaluation of persistent or recurrent urinary incontinence after artificial urinary sphincter (AUS) implantation in patients after prostatectomy
Journal name Bju International   Check publisher's open access policy
ISSN 1464-4096
1464-410X
Publication date 2013-11
Year available 2013
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1111/bju.12207
Volume 112
Issue Supp. 2
Start page 32
End page 35
Total pages 4
Place of publication West Sussex, United Kingdom
Publisher Wiley-Blackwell Publishing
Collection year 2014
Language eng
Abstract 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.
Keyword Artificial urinary sphincter (AUS)
Urinary incontinence
Diagnostic management
Post-prostatectomy
Strategies
Long-Term Outcomes
Management
Q-Index Code CX
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Article first published online 15 OCT 2013

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Non HERDC
ERA White List Items
School of Medicine Publications
 
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