Management of male incontinence following artificial urinary sphincter failure.
OBJECTIVE
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.


RESULTS
The success rates, long-term durability, and patient satisfaction for the artificial urinary sphincter are high. The incidence of complications and adverse events remains low although they are sometimes unavoidable.


CONCLUSIONS
We believe that continence can be salvaged in the majority of men in whom the device fails or requires explantation and we present the logical analysis for device revision and relocation in this review.
Webster
George D
GD
Division of Urology, Duke University Medical Center, Durham, NC 27710, USA.
Sherman
Neil D
ND
D000328:Adult; D000368:Aged; D004868:Equipment Failure; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D011468:Prostatectomy / Q000009:adverse effects* / Q000379:methods; D012008:Recurrence; D012086:Reoperation; D018570:Risk Assessment; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D016741:Urinary Sphincter, Artificial / Q000009:adverse effects*