PRACTICAL ASPECTS OF THE ARTIFICIAL URINARY SPHINCTER IN MEN
DOI:
https://doi.org/10.59277/RRST-EE.2026.1.28Keywords:
Artificial urinary sphincter, Intrinsic sphincteric deficiency, Urinary incontinence, Post prostatectomy incontinenceAbstract
The artificial urinary sphincter (AUS) remains the gold standard in moderate to severe urinary incontinence after prostatic surgery. Starting from the significant personal experience of the authors in the field, we aim to review the current indications, limits and challenges associated with the implantation of an AUS. We present different surgical approaches and pre- and postoperative considerations.
References
(1) H.H. Lai, T.B. Boone, Implantation of artificial urinary sphincter in patients with post prostatectomy incontinence, preoperative overactive bladder and mixed symptoms, Journal of Urology, 185, 6, pp. 2254–2259 (2011).
(2) D.D. Thiel, P.R. Young, G.A. Broderick, M.G. Heckman, M.J. Wehle, T.C. Igel, S.P. Petrou, Do clinical or urodynamic parameters predict artificial urinary sphincter outcome in post radical prostatectomy incontinence?, Urology, 69, 2, pp. 315–319 (2007).
(3) S.K. Wilson, E. Chung, B. Langford, R. Schlesinger, O. Koca, A. Simsek, C. Persu, T. Pottek, J. Mulcahy, First safety outcomes for Rigicon ContiClassic® artificial urinary sphincter, International Journal of Impotence Research (2023).
(4) R. Lee, A.E. Te, S.A. Kaplan, J.S. Sandhu, Temporal trends in adoption of and indications for the artificial urinary sphincter, Journal of Urology, 181, 6, pp. 2622–2627 (2009).
(5) T. Hüsch, A. Kretschmer, F. Thomsen, D. Kronlachner, M. Kurosch, Antibiotic coating of the artificial urinary sphincter (AMS 800): is it worthwhile?, Urology, 103, pp. 179–184 (2017).
(6) M.R. de Cógáin, D.S. Elliott, The impact of an antibiotic coating on the artificial urinary sphincter infection rate, Journal of Urology, 190, 1, pp. 113–117 (2013).
(7) C. Persu, R.N. Cartas, N. Chirca, A. Ciudin, V.M. Cauni, B. Mastalier, I. Ciofu, The artificial urinary sphincter for the treatment of urinary incontinence, Rev. Roum. Sci. Techn. – Électrotechn. et Énerg., 70, 2, pp. 275–280 (2025).
(8) N.J. Sathianathen, S.M. McGuigan, D.A. Moon, Outcomes of artificial urinary sphincter implantation in the irradiated patient, BJU International, 113, 4, pp. 636–641 (2014).
(9) H.H. Lai, E.I. Hsu, B.S. Teh, E.B. Butler, T.B. Boone, 13 years of experience with artificial urinary sphincter implantation at Baylor College of Medicine, Journal of Urology (2007).
(10) V. Cauni, I. Ciofu, M. Dragutescu, B. Mihai, C. Persu, Bipolar transurethral resection of the prostate – the modern approach, Rev. Roum. Sci. Techn. – Électrotechn. et Énerg., 66, 1, pp. 59–62 (2021).
(11) ***Urologic procedures and antimicrobial prophylaxis, American Urological Association (2019).
(12) J.S. Magera, B.A. Inman, D.S. Elliott, Does preoperative topical antimicrobial scrub reduce positive surgical site culture rates in men undergoing artificial urinary sphincter placement?, Journal of Urology, 178, pp. 1328–1332 (2007).
(13) H.L. Ratan, D.J. Summerton, S.K. Wilson, T.R. Terry, Development and current status of the AMS 800 artificial urinary sphincter, EAU EBU Update Series, 4, pp. 117–128 (2006).
(14) S.K. Wilson, P.J. Aliotta, E.A. Salem, J.J. Mulcahy, New enhancements of the scrotal one incision technique for placement of artificial urinary sphincter allow proximal cuff placement, Journal of Sexual Medicine, 7, 10, pp. 3510–3515 (2010).
(15) C. Jamaer, H. De Bruyn, A. Van Renterghem, E. Baten, K. Van Renterghem, Penoscrotal incision for the primary implantation of an artificial urinary sphincter, Current Urology, 14, pp. 74–78 (2020).
(16) A. Kretschmer, T. Huesch, F. Thomsen, D. Kronlachner, A. Obaje, R. Anding, T. Pottek, A. Rose, R. Olianas, A. Friedl, W. Hübner, R. Homberg, J. Pfitzenmaier, U. Grein, F. Queissert, C. Naumann, J. Schweiger, C. Wotzka, J. Nyarangi Dix, R. Bauer, Complications and short-term explantation rate following artificial urinary sphincter implantation: results from a large Middle European multi-institutional case series, Urologia Internationalis (2016).
(17) D.W. Bratzler, P.M. Houck, Antimicrobial prophylaxis for surgery: an advisory statement from the National Surgical Infection Prevention Project, Clinical Infectious Diseases, 38, 12, pp. 1706–1715 (2004).
(18) C.A. Seideman, L.C. Zhao, S.J. Hudak, J. Mierzwiak, M. Adibi, A.F. Morey, Is prolonged catheterization a risk factor for artificial urinary sphincter cuff erosion?, Urology, 82, 4, pp. 943 946 (2013).
(19) C. Persu, I. Ciofu, A. Petrescu, N. Chirca, V. Cauni, Bladder wall structure alterations in patients treated with botulinum toxin for detrusor overactivity – a morphological study, In Vivo, 37, 2, pp. 898 903 (2023).
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