PD04-05 SURVIVAL OF ARTIFICIAL URINARY SPHINCTER IN SIMULTANEOUS VS STAGED ARTIFICIAL URINARY SPHINCTER AND PENILE PROSTHESIS IMPLANTATION

You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Male Incontinence: Therapy I (PD04)1 Sep 2021PD04-05 SURVIVAL OF ARTIFICIAL URINARY SPHINCTER IN SIMULTANEOUS VS STAGED AND PENILE PROSTHESIS IMPLANTATION Nathan Cheng, Nickolas Dalbec, Dongfeng Qi, Guanghui Liu, and David Shin ChengNathan Cheng More articles by this author , DalbecNickolas Dalbec QiDongfeng Qi LiuGuanghui Liu ShinDavid View All Author Informationhttps://doi.org/10.1097/JU.0000000000001968.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION OBJECTIVE: incontinence (UI) erectile dysfunction (ED) are important quality-of-life measures especially after prostate cancer treatment. When both conditions present, simultaneous artificial urinary sphincter (AUS) penile prosthesis (PP) implantation can be performed treat UI ED, respectively. We sought evaluate device survival outcomes in men who underwent vs. staged AUS PP for ED. METHODS: Analysis 21 years a national prospectively maintained Boston Scientific database was (1995-2016). Patients were placed into three subgroups based on timeline implantation: first then (AUS1), (AUS2), (SIMAUS). stratified surgical approaches implantation. Implant (time revision or explantation) analysis using log-rank test. RESULTS: 6770 patients included the study. from showed AUS1>SIMAUS>AUS2 at 5-years (89.1% vs 84.3% 79.5%), 10-years (84.3% 80.1% 75.2%), 15-years (82.2% 78.5% 74.0%), 20-years (81.3% 77.8% 74.0%) initial implantation, all p<0.001. explantation (90.8% 85.6% 82.0%) (77.7% 75.0% 72.0%), but SIMAUS>AUS1 AUS2 (70.4% 66.3% 65.0%) (69.7% 58.2% 65.0%), p≤0.003. In subgroup 1119 undergoing perineal penoscrotal IPP approach, (93.1% 83.9% 79.7%, p<0.001) (92.4% 80.7% p<0.001). also (93.5% 86.6% 79.8%, (72.6% 68.7% 65.4%, p=0.002). CONCLUSIONS: For dual ED diagnosis, up 20 10 is best seen undergo placement followed PP, as highlighted approach. However, offers better long term (>10 years) explantation. Source Funding: © 2021 American Urological Association Education Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e51-e51 Advertisement Copyright & Permissions© Inc.MetricsAuthor Information Expand Loading ...