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Review
. 2023 Sep 5;15(18):4424.
doi: 10.3390/cancers15184424.

Artificial Urinary Sphincters for Moderate Post-Prostatectomy Incontinence: Current Research and Proposed Approach

Andrew Johnson  1 , Spencer Mossack  2 , Peter Tsambarlis  2
Affiliations
Review

Artificial Urinary Sphincters for Moderate Post-Prostatectomy Incontinence: Current Research and Proposed Approach

Andrew Johnson et al. Cancers (Basel). .

Abstract

Male urinary incontinence is a common complication after radical prostatectomy. The severity of incontinence can be assessed in various ways and helps determine the best surgical intervention to restore continence. While most patients with mild incontinence receive a sling and those with severe incontinence receive an artificial urinary sphincter (AUS), there are no clear guidelines on how to manage patients with moderate post-prostatectomy incontinence (PPI). Our discussion will focus on the current literature, which demonstrates that an AUS should be considered first-line in men with moderate PPI despite perceived concerns over complications and reintervention rates.

Keywords: artificial urinary sphincter; continence surgery; male sling; post-prostatectomy incontinence.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Proposed algorithm for assessment and management of patients with post-prostatectomy incontinence.
See this image and copyright information in PMC

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