Artificial Urinary Sphincter: Report of the 2015 Consensus Conference

The AMS800™ device, by far the most frequently implanted artificial urinary sphincter (AUS) worldwide, is considered to be the “gold‐standard” when male incontinence surgical treatment is contemplated. Despite 40 years of experience, it is still a specialized procedure with a number of challenges. Here, we present the recommendations issued from the AUS Consensus Group, regarding indications, management, and follow‐up AMS800™ implantation or revision.

[1]  C. Roehrborn,et al.  3.5 cm artificial urinary sphincter cuff erosion occurs predominantly in irradiated patients. , 2015, The Journal of urology.

[2]  D. Schroeder,et al.  Lower Extremity Neuropathies Associated with Lithotomy Positions , 2000, Anesthesiology.

[3]  A. Papatsoris,et al.  Laparoscopic artificial urinary sphincter implantation for female genuine stress urinary incontinence: technique and 4‐year experience in 25 patients , 2010, BJU international.

[4]  D. Thomas,et al.  Artificial urinary sphincter in patients with neurogenic bladder dysfunction. , 1996, British journal of urology.

[5]  C. Dubeau,et al.  Fourth international consultation on incontinence recommendations of the international scientific committee: Evaluation and treatment of urinary incontinence, pelvic organ prolapse, and fecal incontinence , 2010, Neurourology and urodynamics.

[6]  H. Isbarn,et al.  Open retropubic reanastomosis for highly recurrent and complex bladder neck stenosis. , 2011, The Journal of urology.

[7]  M. Cleves,et al.  Perineal approach for artificial urinary sphincter implantation appears to control male stress incontinence better than the transscrotal approach. , 2008, The Journal of urology.

[8]  V. Master,et al.  Management of severe urethral complications of prostate cancer therapy. , 2006, The Journal of urology.

[9]  V. Flamand,et al.  Robot-assisted laparoscopic approach for artificial urinary sphincter implantation in 11 women with urinary stress incontinence: surgical technique and initial experience. , 2015, European urology.

[10]  A. Mundy,et al.  Experimental evaluation of an electromechanical artificial urinary sphincter in an animal model , 2013, BJU international.

[11]  M. Rouprêt,et al.  Is the implantation of an artificial urinary sphincter with a large cuff in women with severe urinary incontinence associated with worse perioperative complications and functional outcomes than usual? , 2011, International Urogynecology Journal.

[12]  A. Diokno,et al.  Artificial urinary sphincter for recurrent female urinary incontinence: indications and results. , 1987, The Journal of urology.

[13]  W. Hop,et al.  The artificial urinary sphincter in men incontinent after radical prostatectomy: 5 year actuarial adequate function rates. , 1998, British journal of urology.

[14]  F. Burkhard,et al.  EAU guidelines on surgical treatment of urinary incontinence. , 2012, European urology.

[15]  M. Drake,et al.  The artificial urinary sphincter after a quarter of a century: a critical systematic review of its use in male non-neurogenic incontinence. , 2013, European urology.

[16]  E. B. Butler,et al.  13 years of experience with artificial urinary sphincter implantation at Baylor College of Medicine. , 2007, The Journal of urology.

[17]  S. Boyd,et al.  Post-operative risk factors associated with artificial urinary sphincter infection-erosion. , 1995, British journal of urology.

[18]  E. Chung,et al.  25‐year experience in the outcome of artificial urinary sphincter in the treatment of female urinary incontinence , 2010, BJU international.

[19]  J. Kabalin Addition of a second urethral cuff to enhance performance of the artificial urinary sphincter. , 1996, The Journal of urology.

[20]  P. Mozer,et al.  Long‐term functional outcomes after artificial urinary sphincter implantation in men with stress urinary incontinence , 2015, BJU international.

[21]  A. Burnett,et al.  Combined inflatable penile prosthesis-artificial urinary sphincter implantation: no increased risk of adverse events compared to single or staged device implantation. , 2013, The Journal of urology.

[22]  D. Elliott,et al.  The impact of an antibiotic coating on the artificial urinary sphincter infection rate. , 2013, The Journal of urology.

[23]  M. Cleves,et al.  Centers of excellence concept and penile prostheses: an outcome analysis. , 2009, The Journal of urology.

[24]  J. Choe,et al.  Retrograde perfusion sphincterometry with a flexible cystoscope: method of troubleshooting the AMS 800. , 2000, Urology.

[25]  A. Valéri,et al.  Robotic-assisted laparoscopic implantation of artificial urinary sphincter in women with intrinsic sphincter deficiency incontinence: initial results. , 2014, Urology.

[26]  A. Bates,et al.  Complications following artificial urinary sphincter placement after radical prostatectomy and radiotherapy: a meta‐analysis , 2015, BJU international.

[27]  G. Webster,et al.  Successful outcome of artificial urinary sphincters in men with post-prostatectomy urinary incontinence despite adverse implantation features. , 1992, The Journal of urology.

[28]  V. Pansadoro,et al.  Iatrogenic prostatic urethral strictures: classification and endoscopic treatment. , 1999, Urology.

[29]  A. Sahud,et al.  Best practice policy statement on urologic surgery antimicrobial prophylaxis. , 2009, Urology.

[30]  U. Mehnert,et al.  Treatment of neurogenic stress urinary incontinence using an adjustable continence device: 4-year followup. , 2012, The Journal of urology.

[31]  A. Kibel,et al.  Risk of urinary incontinence following prostatectomy: the role of physical activity and obesity. , 2010, The Journal of urology.

[32]  J. Anger,et al.  Anastomotic contracture and incontinence after radical prostatectomy: a graded approach to management. , 2004, The Journal of urology.

[33]  B. Surya,et al.  Anastomotic strictures following radical prostatectomy: risk factors and management. , 1990, The Journal of urology.

[34]  S. Crouzet,et al.  Complications after artificial urinary sphincter implantation in patients with or without prior radiotherapy , 2015, BJU international.

[35]  J. Gajewski,et al.  2012 update: guidelines for adult urinary incontinence collaborative consensus document for the canadian urological association. , 2012, Canadian Urological Association journal = Journal de l'Association des urologues du Canada.

[36]  H. Lai,et al.  A comparison of chlorhexidine-alcohol versus povidone-iodine for eliminating skin flora before genitourinary prosthetic surgery: a randomized controlled trial. , 2013, The Journal of urology.

[37]  A. Gousse,et al.  Artificial urinary sphincter for post-radical prostatectomy urinary incontinence: long-term subjective results. , 2001, The Journal of urology.

[38]  H. Lai,et al.  Urodynamic testing in evaluation of postradical prostatectomy incontinence before artificial urinary sphincter implantation. , 2009, Urology.

[39]  E. Grober,et al.  Preoperative hair removal on the male genitalia: clippers vs. razors. , 2013, The journal of sexual medicine.

[40]  Z. Wolski,et al.  Psychological aspect of qualification to implant an artificial urethral sphincter AMS 800 , 2012, Central European journal of urology.

[41]  X. Gamé,et al.  Treatment of neurogenic male urinary incontinence related to intrinsic sphincter insufficiency with an artificial urinary sphincter: a French retrospective multicentre study , 2011, BJU international.

[42]  Laurent Soustelle,et al.  Long-term results of artificial urinary sphincter for women with type III stress urinary incontinence. , 2013, European urology.

[43]  F. B. Scott,et al.  Management of urinary incontinence in women with the artificial urinary sphincter. , 1985, The Journal of urology.

[44]  G. Webster,et al.  Management of type III stress urinary incontinence using artificial urinary sphincter. , 1992, Urology.

[45]  R. Damião,et al.  Treatment of post-prostate surgery urinary incontinence with the periurethral constrictor: a retrospective analysis. , 2010, Urology.

[46]  V. Nitti,et al.  The etiology of post-radical prostatectomy incontinence and correlation of symptoms with urodynamic findings. , 1998, The Journal of urology.

[47]  A. Morey,et al.  High submuscular placement of urologic prosthetic balloons and reservoirs: 2-year experience and patient-reported outcomes. , 2015, Urology.

[48]  G. Webster,et al.  Transcorporal artificial urinary sphincter cuff placement in cases requiring revision for erosion and urethral atrophy. , 2002, The Journal of urology.

[49]  K. Angermeier,et al.  Artificial urinary sphincter troubleshooting. , 2001, Urology.

[50]  B. Inman,et al.  Does preoperative topical antimicrobial scrub reduce positive surgical site culture rates in men undergoing artificial urinary sphincter placement? , 2007, The Journal of urology.

[51]  S. Hudak,et al.  Impact of 3.5 cm artificial urinary sphincter cuff on primary and revision surgery for male stress urinary incontinence. , 2011, The Journal of urology.

[52]  D. M. Barrett,et al.  Artificial urinary sphincter cuff erosion. Experience with reimplantation in 38 patients. , 1990, Urology.

[53]  B. Linder,et al.  Long-term device outcomes of artificial urinary sphincter reimplantation following prior explantation for erosion or infection. , 2014, The Journal of urology.

[54]  G. Webster,et al.  Endoscopic management of the obliterated anastomosis following radical prostatectomy. , 1996, The Journal of urology.

[55]  H. Lai,et al.  Implantation of artificial urinary sphincter in patients with post-prostatectomy incontinence, and preoperative overactive bladder and mixed symptoms. , 2011, The Journal of urology.

[56]  T. Boone,et al.  Combined stent and artificial urinary sphincter for management of severe recurrent bladder neck contracture and stress incontinence after prostatectomy: a long-term evaluation. , 2001, The Journal of urology.

[57]  E. Chartier-Kastler,et al.  Artificial urinary sphincter (AMS 800) implantation for women with intrinsic sphincter deficiency: a technique for insiders? , 2011, BJU international.

[58]  A. Stone,et al.  Artificial urinary sphincter implantation in the irradiated patient: safety, efficacy and satisfaction , 2002, BJU international.

[59]  H. Aliabadi,et al.  Success of the artificial urinary sphincter after failed surgery for incontinence. , 1990, The Journal of urology.

[60]  S. Elliott,et al.  SIU/ICUD Consultation on Urethral Strictures: Posterior urethral stenosis after treatment of prostate cancer. , 2014, Urology.

[61]  G. Leverson,et al.  Long-term results of artificial urinary sphincters in children are independent of age at implantation. , 2001, The Journal of urology.

[62]  K. Izumi,et al.  Chronological Urodynamic Evaluation of Changing Bladder and Urethral Functions After Robot-assisted Radical Prostatectomy. , 2015, Urology.

[63]  Michael C. Mosier,et al.  Chlorhexidine-Alcohol versus Povidone-Iodine for Surgical-Site Antisepsis. , 2010, The New England journal of medicine.

[64]  F. Montorsi,et al.  Radical prostatectomy after previous prostate surgery: clinical and functional outcomes. , 2011, The Journal of urology.

[65]  Eric Chung,et al.  Newer and novel artificial urinary sphincters (AUS): the development of alternatives to the current AUS device , 2012, BJU international.

[66]  S. Mulholland,et al.  Hospital-acquired urinary tract infections associated with the indwelling catheter. , 1999, The Urologic clinics of North America.

[67]  K. McCammon,et al.  Artificial urinary sphincter for post‐prostatectomy incontinence: A review , 2014, International journal of urology : official journal of the Japanese Urological Association.

[68]  G. Webster,et al.  The Ohmmeter Identifies the Site of Fluid Leakage during Artificial Urinary Sphincter Revision Surgery. , 2015, The Journal of urology.

[69]  A. Morey,et al.  Immediate urethral repair during explantation prevents stricture formation after artificial urinary sphincter cuff erosion. , 2014, The Journal of urology.

[70]  S. Hudak,et al.  Transcorporal artificial urinary sphincter cuff placement is associated with a higher risk of postoperative urinary retention. , 2013, The Canadian journal of urology.

[71]  N. Singla,et al.  Review of single-surgeon 10-year experience with artificial urinary sphincter with report of sterile cuff erosion managed nonsurgically. , 2015, Urology.

[72]  E. P. Dellinger,et al.  Clinical practice guidelines for antimicrobial prophylaxis in surgery. , 2013, Surgical infections.

[73]  Ioannis Vakalopoulos,et al.  New Artificial Urinary Sphincter Devices in the Treatment of Male Iatrogenic Incontinence , 2012, Advances in urology.

[74]  E. Lukacz,et al.  Management of recurrent stress urinary incontinence after burch and sling procedures , 2016, Neurourology and urodynamics.

[75]  M. Craggs,et al.  A new artificial urinary sphincter with conditional occlusion for stress urinary incontinence: preliminary clinical results. , 2006, European urology.

[76]  O. Westney,et al.  Outcomes related to placing an artificial urinary sphincter using a single‐incision, transverse‐scrotal technique in high‐risk patients , 2008, BJU international.

[77]  M. Meng,et al.  Incidence of urethral stricture after primary treatment for prostate cancer: data From CaPSURE. , 2007, The Journal of urology.

[78]  F. Montes,et al.  Importancia de la integridad de la mucosa y submucosa uretral en la continencia de los pacientes con esfínteres urinarios artificiales , 2007 .

[79]  J. K. Light,et al.  Combined use of bowel and the artificial urinary sphincter in reconstruction of the lower urinary tract: infectious complications. , 1995, The Journal of urology.

[80]  M. Heckman,et al.  Do clinical or urodynamic parameters predict artificial urinary sphincter outcome in post-radical prostatectomy incontinence? , 2007, Urology.

[81]  P. Rubenwolf [Prognostic value of urodynamic testing in myelodysplastic patients]. , 2003, Aktuelle Urologie.

[82]  B. Linder,et al.  Long-term Outcomes Following Artificial Urinary Sphincter Placement: An Analysis of 1082 Cases at Mayo Clinic. , 2015, Urology.

[83]  C. Seideman,et al.  Is prolonged catheterization a risk factor for artificial urinary sphincter cuff erosion? , 2013, Urology.

[84]  L. Trost,et al.  Small intestinal submucosa urethral wrap at the time of artificial urinary sphincter placement as a salvage treatment option for patients with persistent/recurrent incontinence following multiple prior sphincter failures and erosions. , 2012, Urology.

[85]  N. Singla,et al.  Does Pressure Regulating Balloon Location Make a Difference in Functional Outcomes of Artificial Urinary Sphincter? , 2015, The Journal of urology.

[86]  F. B. Scott The artificial urinary sphincter. Experience in adults. , 1989, The Urologic clinics of North America.

[87]  M. Rouprêt,et al.  Laparoscopic approach for artificial urinary sphincter implantation in women with intrinsic sphincter deficiency incontinence: a single-centre preliminary experience. , 2010, European urology.

[88]  G. Koren,et al.  Codeine-acetaminophen versus nonsteroidal anti-inflammatory drugs in the treatment of post-abdominal surgery pain: a systematic review of randomized trials. , 2009, American journal of surgery.

[89]  B. N. Ngninkeu,et al.  Laparoscopic artificial urinary sphincter in women for type III incontinence: preliminary results. , 2005, European urology.

[90]  X. Cathelineau,et al.  Transcorporal artificial urinary sphincter implantation as a salvage surgical procedure for challenging cases of male stress urinary incontinence: surgical technique and functional outcomes in a contemporary series , 2013, BJU international.

[91]  Andre Garon,et al.  Novel, Wirelessly Controlled, and Adaptive Artificial Urinary Sphincter , 2015, IEEE/ASME Transactions on Mechatronics.

[92]  H. Wood,et al.  Continence outcomes after treatment of recalcitrant postprostatectomy bladder neck contracture and review of the literature. , 2014, Urology.

[93]  S Basrour,et al.  Development of a Novel Artificial Urinary Sphincter: A Versatile Automated Device , 2010, IEEE/ASME Transactions on Mechatronics.

[94]  P. Scardino,et al.  Impact of prior prostate radiation on complications after radical prostatectomy. , 2010, The Journal of urology.

[95]  Andrew Peterson,et al.  Contemporary management of postprostatectomy incontinence. , 2011, European urology.

[96]  S. Hudak,et al.  Deep lateral transurethral incisions for recurrent bladder neck contracture: promising 5-year experience using a standardized approach. , 2013, Urology.

[97]  F. Richard Recommandations pour le traitement de l’incontinence urinaire féminine non neurologique par le sphincter artificiel urinaire , 2010 .

[98]  M. Srougi,et al.  A prospective study evaluating the efficacy of the artificial sphincter AMS 800 for the treatment of postradical prostatectomy urinary incontinence and the correlation between preoperative urodynamic and surgical outcomes. , 2008, Urology.

[99]  J. Roberts,et al.  Risk factors for vesicourethral anastomotic stricture after radical prostatectomy. , 2000, Urology.

[100]  J. Pannek,et al.  The artificial urinary sphincter in patients with spinal cord lesion: description of a modified technique and clinical results. , 2009, European urology.

[101]  G. Bales,et al.  Comparison of outcomes after single or DOUBLE-CUFF artificial urinary sphincter insertion. , 2003, Urology.

[102]  J. Moscovici,et al.  Artificial urinary sphincter implantation for neurogenic bladder: a multi-institutional study in 107 children. , 1996, British journal of urology.

[103]  T. Boone,et al.  Does nocturnal deactivation of the artificial urinary sphincter lessen the risk of urethral atrophy? , 2001, Urology.

[104]  Peter Woias,et al.  The first teleautomatic low-voltage prosthesis with multiple therapeutic applications: a new version of the German artificial sphincter system. , 2010, Artificial Organs.

[105]  Scott Fb The artificial urinary sphincter. Experience in adults. , 1989 .

[106]  B. Dalkin,et al.  Evaluation of cold knife urethrotomy for the treatment of anastomotic stricture after radical retropubic prostatectomy. , 2001, The Journal of urology.

[107]  G. Webster,et al.  Synchronous management of anastomotic contracture and stress urinary incontinence following radical prostatectomy. , 1994, The Journal of urology.

[108]  James S. Magera,et al.  Tandem transcorporal artificial urinary sphincter cuff salvage technique: surgical description and results. , 2007, The Journal of urology.

[109]  Georges Karam,et al.  Management of artificial urinary sphincter dysfunction. , 2004, European urology.

[110]  A. Simonato,et al.  Two-stage transperineal management of posterior urethral strictures or bladder neck contractures associated with urinary incontinence after prostate surgery and endoscopic treatment failures. , 2007, European urology.

[111]  A. Morey Ectopic placement of AMS 800 urinary control system pressure-regulating balloon. , 2005, The Journal of urology.

[112]  H. Lepor,et al.  The impact of open radical retropubic prostatectomy on continence and lower urinary tract symptoms: a prospective assessment using validated self-administered outcome instruments. , 2005, The Journal of urology.

[113]  R. Medel,et al.  10-Year experience with artificial urinary sphincter in children and adolescents. , 2001, The Journal of urology.

[114]  O. Westney,et al.  Balloon dilation of posterior urethral stricture secondary to radiation and cryotherapy in a patient with a functional artificial urethral sphincter. , 1999, Journal of endourology.

[115]  A. Morey,et al.  Obliterative vesicourethral strictures following radical prostatectomy for prostate cancer: reconstructive armamentarium. , 1998, The Journal of urology.

[116]  P. Di Benedetto Clean intermittent self-catheterization in neuro-urology. , 2011, European journal of physical and rehabilitation medicine.

[117]  Mohamad Sawan,et al.  A Bluetooth-based Low-Energy Qi-compliant battery charger for implantable medical devices , 2014, 2014 IEEE International Symposium on Bioelectronics and Bioinformatics (IEEE ISBB 2014).

[118]  Mark B. Lyon,et al.  Long-term follow-up of single versus double cuff artificial urinary sphincter insertion for the treatment of severe postprostatectomy stress urinary incontinence. , 2008, Urology.

[119]  G W Timm,et al.  An implantable mechanical urinary sphincter: a new nonhydraulic design concept. , 1998, Urology.

[120]  O. Westney,et al.  Combination therapy for male erectile dysfunction and urinary incontinence. , 2008, Asian journal of andrology.

[121]  S. Galli,et al.  Oncologic outcome and continence recovery after laparoscopic radical prostatectomy: 3 years' follow-up in a "second generation center". , 2006, European urology.

[122]  T. Boone,et al.  Re: Combined stent and artificial urinary sphincter for management of severe recurrent bladder neck contracture and stress incontinence after prostatectomy: a long-term evaluation. , 2002 .

[123]  Bert Müller,et al.  The challenges in artificial muscle research to treat incontinence. , 2009, Swiss medical weekly.

[124]  D. Heitjan,et al.  Urinary continence after radical prostatectomy: the Columbia experience. , 1998, The Journal of urology.

[125]  K. Walsh,et al.  Urethral atrophy after artificial urinary sphincter placement: is cuff downsizing effective? , 2003, The Journal of urology.

[126]  A. Manunta,et al.  Artificial sphincter insertion after radiotherapy: is it worthwhile? , 2000, BJU international.

[127]  S. Petrou Outcome of the artificial urinary sphincter in female patients. , 2002, International braz j urol : official journal of the Brazilian Society of Urology.

[128]  L. Rangel,et al.  Perioperative Complications following Artificial Urinary Sphincter Placement. , 2015, The Journal of urology.

[129]  H. Wessells,et al.  Recurrent bulbar urethral stricture in the region of an artificial urinary sphincter. , 2001, Journal of Urology.

[130]  G. Webster,et al.  Outcomes following revisions and secondary implantation of the artificial urinary sphincter. , 2005, The Journal of urology.

[131]  S. Hudak,et al.  Decreasing need for artificial urinary sphincter revision surgery by precise cuff sizing in men with spongiosal atrophy. , 2014, The Journal of urology.

[132]  F. Staerman,et al.  ZSI 375 artificial urinary sphincter for male urinary incontinence: a preliminary study , 2013, BJU international.

[133]  R. Herwig,et al.  Urethral support with PelviSoft™ after artificial urinary sphincter erosion at revision procedures , 2007, Wiener Medizinische Wochenschrift.

[134]  P. Aliotta,et al.  New enhancements of the scrotal one-incision technique for placement of artificial urinary sphincter allow proximal cuff placement. , 2010, The journal of sexual medicine.

[135]  P. Carroll,et al.  Incidence of bladder neck contracture after robot‐assisted laparoscopic and open radical prostatectomy , 2010, BJU international.

[136]  I. Tsimafeyeu,et al.  Cytoreductive radiofrequency ablation in patients with metastatic renal cell carcinoma (RCC) with small primary tumours treated with sunitinib or interferon‐α , 2013, BJU international.

[137]  S. Cho,et al.  The Current Role of the Artificial Urinary Sphincter in Male and Female Urinary Incontinence , 2013, The world journal of men's health.

[138]  R. Nelson,et al.  Successful reinsertion of the artificial urinary sphincter after removal for erosion or infection. , 1996, Urology.

[139]  A. Morey,et al.  Patient satisfaction after dual implantation of inflatable penile and artificial urinary sphincter prostheses. , 2008, Urology.

[140]  D. Elliott,et al.  Tandem cuff artificial urinary sphincter as a salvage procedure following failed primary sphincter placement for the treatment of post-prostatectomy incontinence. , 2003, The Journal of urology.

[141]  D. M. Barrett,et al.  Combined implantation of artificial sphincter and penile prosthesis. , 1989, The Journal of urology.

[142]  E. Chung,et al.  Diagnostic challenges in the evaluation of persistent or recurrent urinary incontinence after artificial urinary sphincter (AUS) implantation in patients after prostatectomy , 2013, BJU international.

[143]  D. Roth,et al.  Urinary tract deterioration associated with the artificial urinary sphincter. , 1986, The Journal of urology.

[144]  R. Dmochowski,et al.  The Impact of Urethral Risk Factors on Transcorporeal Artificial Urinary Sphincter Erosion Rates and Device Survival. , 2015, The Journal of urology.

[145]  T. Guzzo,et al.  An evidence-based strategy for the conservative management of the male patient with incontinence , 2014, Current opinion in urology.

[146]  S. Elliott,et al.  Novel artificial urinary sphincter in the canine model: the tape mechanical occlusive device. , 2011, Urology.

[147]  C. Hajivassiliou A Review of the Complications and Results of Implantation of the AMS Artificial Urinary Sphincter , 1999, European Urology.

[148]  S. Radomski,et al.  Artificial urinary sphincter erosion after radical prostatectomy in patients treated with and without radiation. , 2015, Canadian Urological Association journal = Journal de l'Association des urologues du Canada.

[149]  N. Sathianathen,et al.  Outcomes of artificial urinary sphincter implantation in the irradiated patient , 2014, BJU international.

[150]  Thomas G. Smith,et al.  Risk factors for erosion of artificial urinary sphincters: a multicenter prospective study. , 2014, Urology.

[151]  M. Adams,et al.  Use of a double cuff AMS800 urinary sphincter for severe stress incontinence. , 1993, The Journal of urology.

[152]  G. Webster,et al.  Artificial urinary sphincter: lessons learned. , 2011, The Urologic clinics of North America.

[153]  H. Lai,et al.  Revision Techniques After Artificial Urinary Sphincter Failure in Men: Results From a Multicenter Study. , 2015, Urology.

[154]  W. Hellstrom,et al.  Synchronous prosthetic implantation through a transscrotal incision: an outcome analysis. , 2006, The Journal of urology.

[155]  P. Mozer,et al.  Robot‐assisted laparoscopic artificial urinary sphincter insertion in men with neurogenic stress urinary incontinence , 2013, BJU international.

[156]  R. Dmochowski,et al.  Update of AUA guideline on the surgical management of female stress urinary incontinence. , 2010, The Journal of urology.

[157]  F. Luyckx,et al.  Female urinary incontinence and artificial urinary sphincter: study of efficacy and risk factors for failure and complications. , 2011, European urology.

[158]  H. Lang,et al.  Implantation de sphincter artificiel urinaire par voie laparoscopique chez des femmes avec incontinence urinaire d’effort sévère , 2013 .

[159]  L. Berghmans,et al.  Systematic review: efficacy of silicone microimplants (Macroplastique) therapy for stress urinary incontinence in adult women. , 2003, European urology.

[160]  L. Baskin,et al.  Placement of artificial urinary sphincter in children and simultaneous gastrocystoplasty. , 2001, The Journal of urology.

[161]  James S. Magera,et al.  Artificial urinary sphincter infection: causative organisms in a contemporary series. , 2008, The Journal of urology.

[162]  J. Tanner,et al.  Preoperative hair removal to reduce surgical site infection. , 2011, The Cochrane database of systematic reviews.

[163]  F. Merino,et al.  Long-term results of the artificial urinary sphincter in male patients with neurogenic bladder. , 1995, The Journal of urology.

[164]  V. Nitti,et al.  Correlation of patient perception of pad use with objective degree of incontinence measured by pad test in men with post-prostatectomy incontinence: the SUFU Pad Test Study. , 2014, The Journal of urology.

[165]  Li Wang,et al.  Difference between urethral circumference and artificial urinary sphincter cuff size, and its effect on postoperative incontinence. , 2014, The Journal of urology.

[166]  A. Mundy,et al.  The current role of the artificial urinary sphincter for the treatment of urinary incontinence. , 2005, The Journal of urology.

[167]  D. Elliott,et al.  Mayo Clinic long-term analysis of the functional durability of the AMS 800 artificial urinary sphincter: a review of 323 cases. , 1998, The Journal of urology.