Novel management approach to connecting tube erosion of artificial urinary sphincter.
Artificial urinary sphincter (AUS) erosion often involve the urethral cuff and is managed by complete or partial device removal. Abdominal wall erosion of AUS tubing has not been previously reported and its management is unknown. We report tube erosion (TE) of AUS successfully managed without device explant. An 81-year-old male with AUS for post-prostatectomy incontinence presented with TE at the site of inguinal incision without signs or symptoms of infection. The exposed tube was reduced and wound was closed after copious antibiotic solution irrigation. No complications were noted at 2 month follow up. AUS-TE can be successfully managed conservatively with antiseptic wound site irrigation and reinsertion in absence of infection.
University of Cincinnati Medical Center, Cincinnati, Ohio, USA.
Akwasi A
AA
Boateng
Mahmoud A
MA
Mohamed
Ayman E
AE
Mahdy
D034861:Abdominal Wall / Q000601:surgery*; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D004868:Equipment Failure; D006801:Humans; D008297:Male; D011468:Prostatectomy / Q000009:adverse effects; D013530:Surgical Wound Infection / Q000517:prevention & control; D007507:Therapeutic Irrigation / Q000379:methods*; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000209:etiology / Q000628:therapy*; D016741:Urinary Sphincter, Artificial / Q000009:adverse effects*
D000900:Anti-Bacterial Agents