Eric Chung1, Anojan Navaratnam, Ross A Cartmill. 1. Department of Urology, Princess Alexandra Hospital, Ipswich Road, Woolloongabba, Brisbane, Queensland 4102, Australia. ericchg@hotmail.com
Abstract
INTRODUCTION AND HYPOTHESIS: The role of artificial urinary sphincter (AUS) as salvage option following failed anti-incontinence surgery is unclear. METHODS: Database review and telephone survey were conducted to review patient satisfaction, surgical outcomes, device failure and revision rates. RESULTS: A total of 29 female patients received AUS following failed anti-incontinence surgeries. Five (17%) AUS devices were explanted due to AUS erosion or infection. Thirteen AUS revisions were made and device malfunction accounted for 95% of the cases. Kaplan-Meier analysis showed more than 90% of AUS malfunction occurred less than 100 months from the time of implant. There was a significant decrease in pad use (3.6 to 0.2 pads per day; p < 0.01). The continence rate with no pad use was 70% and this increases to 83% in patients wearing one precautionary pad. CONCLUSION: AUS is a safe, durable and effective salvage option for females with previous failed anti-incontinent surgeries.
INTRODUCTION AND HYPOTHESIS: The role of artificial urinary sphincter (AUS) as salvage option following failed anti-incontinence surgery is unclear. METHODS: Database review and telephone survey were conducted to review patient satisfaction, surgical outcomes, device failure and revision rates. RESULTS: A total of 29 female patients received AUS following failed anti-incontinence surgeries. Five (17%) AUS devices were explanted due to AUS erosion or infection. Thirteen AUS revisions were made and device malfunction accounted for 95% of the cases. Kaplan-Meier analysis showed more than 90% of AUS malfunction occurred less than 100 months from the time of implant. There was a significant decrease in pad use (3.6 to 0.2 pads per day; p < 0.01). The continence rate with no pad use was 70% and this increases to 83% in patients wearing one precautionary pad. CONCLUSION: AUS is a safe, durable and effective salvage option for females with previous failed anti-incontinent surgeries.