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Functional Outcomes and Long-term Durability of Artificial Urinary Sphincter Application: Review of 56 Patients With Long-term Follow-up

PURPOSE: To evaluate the long-term outcomes of artificial urinary sphincter (AUS) implantation and to report the complication rates, including mechanical failure, erosion, and infection. MATERIALS AND METHODS: From June 1990 to May 2011, AUS (AMS 800) implantations were performed in 56 adult males b...

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Autores principales: Gülpınar, Ömer, Süer, Evren, Gökce, Mehmet İlker, Haliloğlu, Ahmet Hakan, Öztürk, Erdem, Arıkan, Nihat
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Urological Association 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3685636/
https://www.ncbi.nlm.nih.gov/pubmed/23789045
http://dx.doi.org/10.4111/kju.2013.54.6.373
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author Gülpınar, Ömer
Süer, Evren
Gökce, Mehmet İlker
Haliloğlu, Ahmet Hakan
Öztürk, Erdem
Arıkan, Nihat
author_facet Gülpınar, Ömer
Süer, Evren
Gökce, Mehmet İlker
Haliloğlu, Ahmet Hakan
Öztürk, Erdem
Arıkan, Nihat
author_sort Gülpınar, Ömer
collection PubMed
description PURPOSE: To evaluate the long-term outcomes of artificial urinary sphincter (AUS) implantation and to report the complication rates, including mechanical failure, erosion, and infection. MATERIALS AND METHODS: From June 1990 to May 2011, AUS (AMS 800) implantations were performed in 56 adult males by one surgeon. Various demographic and preoperative variables, surgical variables, and postoperative outcomes, including success and complication rates with a median follow-up of 96 months, were recorded retrospectively. RESULTS: The mean age of the patients at the time of AUS implantation was 61.8 (±14.2) years. During the follow-up period, the total complication rate was 41.1% (23 patients). The incidence of complications was significantly lower during the follow-up period after 48 months (p<0.05). Kaplan-Meier analysis revealed that 5- and 10-year failure-free rates were 50.3% and 45.2%, respectively. CONCLUSIONS: Long-term durability and functional outcomes are achievable for the AMS 800, but there are appreciable complication rates for erosion, mechanical failure, and infection of up to 30%.
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spelling pubmed-36856362013-06-20 Functional Outcomes and Long-term Durability of Artificial Urinary Sphincter Application: Review of 56 Patients With Long-term Follow-up Gülpınar, Ömer Süer, Evren Gökce, Mehmet İlker Haliloğlu, Ahmet Hakan Öztürk, Erdem Arıkan, Nihat Korean J Urol Original Article PURPOSE: To evaluate the long-term outcomes of artificial urinary sphincter (AUS) implantation and to report the complication rates, including mechanical failure, erosion, and infection. MATERIALS AND METHODS: From June 1990 to May 2011, AUS (AMS 800) implantations were performed in 56 adult males by one surgeon. Various demographic and preoperative variables, surgical variables, and postoperative outcomes, including success and complication rates with a median follow-up of 96 months, were recorded retrospectively. RESULTS: The mean age of the patients at the time of AUS implantation was 61.8 (±14.2) years. During the follow-up period, the total complication rate was 41.1% (23 patients). The incidence of complications was significantly lower during the follow-up period after 48 months (p<0.05). Kaplan-Meier analysis revealed that 5- and 10-year failure-free rates were 50.3% and 45.2%, respectively. CONCLUSIONS: Long-term durability and functional outcomes are achievable for the AMS 800, but there are appreciable complication rates for erosion, mechanical failure, and infection of up to 30%. The Korean Urological Association 2013-06 2013-06-12 /pmc/articles/PMC3685636/ /pubmed/23789045 http://dx.doi.org/10.4111/kju.2013.54.6.373 Text en © The Korean Urological Association, 2013 http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Gülpınar, Ömer
Süer, Evren
Gökce, Mehmet İlker
Haliloğlu, Ahmet Hakan
Öztürk, Erdem
Arıkan, Nihat
Functional Outcomes and Long-term Durability of Artificial Urinary Sphincter Application: Review of 56 Patients With Long-term Follow-up
title Functional Outcomes and Long-term Durability of Artificial Urinary Sphincter Application: Review of 56 Patients With Long-term Follow-up
title_full Functional Outcomes and Long-term Durability of Artificial Urinary Sphincter Application: Review of 56 Patients With Long-term Follow-up
title_fullStr Functional Outcomes and Long-term Durability of Artificial Urinary Sphincter Application: Review of 56 Patients With Long-term Follow-up
title_full_unstemmed Functional Outcomes and Long-term Durability of Artificial Urinary Sphincter Application: Review of 56 Patients With Long-term Follow-up
title_short Functional Outcomes and Long-term Durability of Artificial Urinary Sphincter Application: Review of 56 Patients With Long-term Follow-up
title_sort functional outcomes and long-term durability of artificial urinary sphincter application: review of 56 patients with long-term follow-up
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3685636/
https://www.ncbi.nlm.nih.gov/pubmed/23789045
http://dx.doi.org/10.4111/kju.2013.54.6.373
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