دورية أكاديمية
Indications and Outcomes for Intermittent Catheterization following Bulbar AUS Cuff Placement.
| العنوان: | Indications and Outcomes for Intermittent Catheterization following Bulbar AUS Cuff Placement. |
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| المؤلفون: | Krughoff K; Oregon Urology Institute, Springfield, OR. Electronic address: Krughoff891@gmail.com., Livingston AJ; Division of Urology, Department of Surgery, Duke University Medical Center, Durham, NC., Inouye B; Division of Urology, Department of Surgery, Albany Medical College, Albany, NY., Peterson AC; Division of Urology, Department of Surgery, Duke University Medical Center, Durham, NC., Lentz AC; Division of Urology, Department of Surgery, Duke University Medical Center, Durham, NC. |
| المصدر: | Urology [Urology] 2023 Jan; Vol. 171, pp. 216-220. Date of Electronic Publication: 2022 Nov 01. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Science Country of Publication: United States NLM ID: 0366151 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1527-9995 (Electronic) Linking ISSN: 00904295 NLM ISO Abbreviation: Urology Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: New York : Elsevier Science Original Publication: Ridgewood, N.J., Professional Medical Services Co. |
| مواضيع طبية MeSH: | Urinary Sphincter, Artificial*/adverse effects , Urinary Incontinence, Stress*/etiology , Urinary Incontinence, Stress*/surgery , Prostatic Neoplasms*/surgery , Prostatic Neoplasms*/complications, Male ; Humans ; Retrospective Studies ; Urinary Catheterization/adverse effects |
| مستخلص: | Objective: To evaluate the functional and surgical impact of CIC protocols in men with a bulbar AUS in place. Stress urinary incontinence (SUI) and poor bladder emptying are both sequelae of prostate cancer treatment, though there is sparse data to guide concomitant management. The safety of intermittent catheterization (CIC) in men with an artificial urinary sphincter (AUS) at the bulbar urethra remains unclear. Methods: We performed a retrospective review of all bulbar urethral AUS procedures at our institution. Inclusion criteria were patients with a history of prostate cancer treatment, AUS placement for SUI, and a history of CIC before and/or after AUS placement. All eligible cases were retrospectively reviewed. Surgical and continence outcomes were analyzed. Results: A total of 57 patients were identified with a history of CIC and AUS placement under the care of two surgeons. Eighteen continued to perform CIC or first initiated CIC after AUS placement and 39 discontinued CIC prior to AUS placement. The incidence of erosion was no different amongst patients who continued or discontinued CIC after AUS placement (17.9% vs 22.2%, P = .79). There was no difference in future AUS removal or replacement (56.4% vs 44.4%, P = .41). Both groups experienced improvement in urinary incontinence after placement of an AUS. Conclusion: Bulbar AUS placement in the setting of continuous intermittent catheterization can be considered in patients who are not surgical candidates for definitive treatment of their outlet obstruction. (Copyright © 2022 Elsevier Inc. All rights reserved.) |
| التعليقات: | Comment in: J Urol. 2023 Jul;210(1):210-211. (PMID: 37115186) |
| تواريخ الأحداث: | Date Created: 20221104 Date Completed: 20230110 Latest Revision: 20240205 |
| رمز التحديث: | 20240205 |
| DOI: | 10.1016/j.urology.2022.10.013 |
| PMID: | 36332702 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1527-9995 |
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| DOI: | 10.1016/j.urology.2022.10.013 |