01-05-2021 | Stress Incontinence | Men's Health (R Carrion, Section Editor)
Artificial Urinary Sphincter Complications: Risk Factors, Workup, and Clinical Approach
Published in: Current Urology Reports | Issue 5/2021
Login to get accessAbstract
Purpose of Review
To review risk factors for AUS complications and present a systematic approach to their diagnosis and management.
Recent Findings
Established risk factors for AUS complications include catheterization, channel TURP, pelvic radiation, urethroplasty, anticoagulation, cardiovascular disease, diabetes mellitus, frailty index, hypertension, low albumin, and low testosterone. We present our algorithm for diagnosis and management of AUS complications.
Summary
Despite being the gold standard of treatment for men with SUI, major and minor complications can occur at any point after AUS insertion. Careful consideration of the urologic, medical, and operative risk factors for each patient can help prevent complications. A systematic approach to early and late complications facilitates their identification and effective management. The evaluating urologist must have a thorough understanding of potential AUS complications in order to restore quality of life in men with bothersome SUI.