PD04-03 RECONSTRUCTION OF ARTIFICIAL URINARY SPHINCTER CUFF EROSION: DEFECT SIZE PREDICTS PROGNOSIS

You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Male Incontinence: Therapy I (PD04)1 Sep 2021PD04-03 RECONSTRUCTION OF ARTIFICIAL URINARY SPHINCTER CUFF EROSION: DEFECT SIZE PREDICTS PROGNOSIS Nathan Chertack, Gregory Joice, Kelly Caldwell, Mehraban Kavoussi, Benjamin Dropkin, Nicolas Ortiz, Adam Baumgarten, Nabeel Shakir, Sarah Sanders, Steven Hudak, and Allen Morey ChertackNathan Chertack More articles by this author , JoiceGregory Joice CaldwellKelly Caldwell KavoussiMehraban Kavoussi DropkinBenjamin Dropkin OrtizNicolas Ortiz BaumgartenAdam Baumgarten ShakirNabeel Shakir SandersSarah Sanders HudakSteven Hudak MoreyAllen View All Author Informationhttps://doi.org/10.1097/JU.0000000000001968.03AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: In-situ urethroplasty (ISU) has been proposed in conjunction with device explant as an acute management strategy after artificial urinary sphincter (AUS) cuff erosion. Previous studies not shown a clear relationship between extent erosion long-term prognosis. We hypothesize that more extensive erosions are associated higher rates lower tract complications (LUTC) increased need for diversion (UD). METHODS: performed retrospective study patients who underwent ISU AUS from June 2007 December 2020 minimum 90-day follow up. Patients were stratified into two groups based on the degree urethral determined endoscopically at time - mild (<33% circumferential defect) major ( >33%). Outcomes included LUTC, reimplantation, UD. LUTC was defined strictures, diverticulum, fistulas, secondary AUS. UD suprapubic tube placement or without ligation ileal conduit creation. Kaplan-Meier curves created compare outcomes groups. RESULTS: A total 40 met follow-up criteria. Median patient age 76 years old median defect size 46% (IQR: 20-50%); 15 men (37.5%) had 25 (62.5%) erosions. The overall rate 53.5% significantly fewer noted (28.6% vs 65.4%, p=0.002). Ultimately, 35.0% required permanent decreased case (13.3% 48.0%, p=0.04). On analysis, improved LUTC-free UD-free survival but reimplantation. CONCLUSIONS: Prognosis is defect. high risk LUTCs Source Funding: None © 2021 American Urological Association Education Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e50-e50 Advertisement Copyright & Permissions© Inc.MetricsAuthor Information Expand Loading ...