Please use this identifier to cite or link to this item: http://earsiv.odu.edu.tr:8080/xmlui/handle/11489/4999
Title: Do the etiological factors in artificial urinary sphincter reimplantation cases affect success and complications?
Authors: Nalbant, Ismail
Tuygun, Can
Ozturk, Ufuk
Goktug, Hasan Nedim Goksel
Karakoyunlu, Ahmet Nihat
Selmi, Volkan
Imamoglu, Muhammed Abdurrahim
Ordu Üniversitesi
0000-0002-6680-9860
0000-0003-2605-9935
0000-0001-9762-0641
Keywords: Urethra, prostatectomy, urinary sphincter, artificial
POSTPROSTATECTOMY INCONTINENCE, RADICAL PROSTATECTOMY, IMPLANTATION, OUTCOMES, REVISION, CANCER
Issue Date: 2018
Publisher: Tubitak Scientific & Technological Research Council Turkey-ANKARA
Citation: Nalbant, I., Tuygun, C., Öztürk, U., Göktug, HNG., Karakoyunlu, AN., Selmi, V., Imamoglu, MA. (2018). Do the etiological factors in artificial urinary sphincter reimplantation cases affect success and complications?. Turk. J. Med. Sci., 48(6), 1263-1267. https://doi.org/10.3906/sag-1805-150
Abstract: Background/aim: The artificial urinary sphincter (AUS) is still one of the best options for incontinence treatment. It may also have an advantage for revision or reimplantation in the management of complications. In this study we aimed to discuss the etiological factors for AUS reimplantation and effects of these etiological factors on success rates, patient satisfaction rates, tune to reimplantation surgery, and complications. Materials and methods: Data from 30 patients for whom AUS reimplantation was performed were analyzed retrospectively. Incontinence due to fluid loss from the cuff or reservoir balloon, inability of the cuff to adequately compress the urethra, and devices that were thought to have completed their lifespans were defined as mechanical reasons while incontinence caused by conditions such as cuff erosion and infection were defined as nonmechanical reasons. Patients who went through reimplantation due to mechanical and nonmechanical causes were included in Group 1 and Group 2, respectively. Success rates, patient satisfaction rates, time between the implantation of the first and second AUS, and complications were compared between the groups. Results: The mean follow-up period was 79 (3-308) months for patients who went through primary AUS implantation due to postprostatectomy incontinence. Our success rates were found as 75% and 66% in Group 1 and Group 2, respectively. The differences between the groups in terms of success and patient satisfaction rates were not statistically significant, while the time to reimplantation was longer in Group 1 and statistically significant. Conclusion: Reasons for AUS reimplantation may affect the success and patient satisfaction rates. Our success rates of AUS performed for nonmechanical reasons were slightly lower, but not statistically significantly so. AUS reimplantation may take a longer time if mechanical failure is detected.
Description: WoS Categories: Medicine, General & Internal
Web of Science Index: Science Citation Index Expanded (SCI-EXPANDED)
Research Areas: General & Internal Medicine
URI: http://dx.doi.org/10.3906/sag-1805-150
https://www.webofscience.com/wos/woscc/full-record/WOS:000452890300027
http://earsiv.odu.edu.tr:8080/xmlui/handle/11489/4999
ISSN: 1300-0144
1303-6165
Appears in Collections:Cerrahi Tıp Bilimleri

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