AUA: Incontinence after Prostate Therapy (2019): Difference between revisions
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** '''<span style="color:#ff0000">If identified during implantation, procedure should be abandoned and subsequent implantation should be delayed</span>''' | ** '''<span style="color:#ff0000">If identified during implantation, procedure should be abandoned and subsequent implantation should be delayed</span>''' | ||
* '''<span style="color:#ff0000">Persistent leakage</span>''' | * '''<span style="color:#ff0000">Persistent leakage</span>''' | ||
* '''<span style="color:#ff0000">Cuff erosion</span>''' | * '''<span style="color:#ff0000">Cuff erosion</span>''' | ||
** Can be due to unrecognized urethral injury at the time of initial surgery or more likely due to subsequent instrumentation of the urethra including catheterization. | ** Can be due to unrecognized urethral injury at the time of initial surgery or more likely due to subsequent instrumentation of the urethra including catheterization. | ||
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*** '''<span style="color:#ff0000">Urgent AUS explantation''' | *** '''<span style="color:#ff0000">Urgent AUS explantation''' | ||
*** '''AUS should not be reimplanted until at least 3 months''' to allow the infection to clear and inflammation to subside. | *** '''AUS should not be reimplanted until at least 3 months''' to allow the infection to clear and inflammation to subside. | ||
* '''<span style="color:#ff0000">Decreased efficacy over time and reoperations are common</span>''' | * '''<span style="color:#ff0000">Mechanical failure</span>''' | ||
*'''<span style="color:#ff0000">Decreased efficacy over time and reoperations are common</span>''' | |||
** '''The current version consists of''' a hydraulic system composed of '''3 separate parts:''' | ** '''The current version consists of''' a hydraulic system composed of '''3 separate parts:''' | ||
**# '''A urethral cuff''' of varying sizes | **# '''A urethral cuff''' of varying sizes | ||
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*** '''≈24% at 5 years''' | *** '''≈24% at 5 years''' | ||
*** '''≈ 50% at 10 years''' | *** '''≈ 50% at 10 years''' | ||
** ''' | ** '''AUS might need to be replaced over time due to persistent or recurrent incontinence generally due to (3):''' | ||
**# '''Urethral atrophy''' | **# '''Urethral atrophy''' | ||
**# '''Improper cuff sizing''' | **# '''Improper cuff sizing''' | ||