
@Article{,
AUTHOR = {Paul J. Smith, Steven J. Hudak, J. Francis Scott, Lee C. Zhao, 
Allen F. Morey},
TITLE = {Transcorporal artificial urinary sphincter cuff placement is associated with a higher risk of postoperative urinary retention},
JOURNAL = {Canadian Journal of Urology},
VOLUME = {20},
YEAR = {2013},
NUMBER = {3},
PAGES = {6773--6777},
URL = {http://www.techscience.com/CJU/v20n3/61610},
ISSN = {1488-5581},
ABSTRACT = {<b>Introduction:</b> To explore the association of artificial urinary sphincter (AUS) cuff sizes and placement techniques with the development of postoperative urinary retention.<br/>
<b>Materials and methods:</b> We analyzed the outcomes of AUS cases performed by a single surgeon at a tertiary referral center from 2007 to 2010. Outcomes relating to urinary retention and suprapubic tube placement were analyzed in three groups: those with 3.5 cm cuff placement, ≥ 4 cm cuff placement, and transcorporal cuff (TC) placement of any size.<br/>
<b>Results:</b> Among 139 patients who underwent AUS placement from 2007 to 2010, 117 cases met inclusion criteria – 42 men received a 3.5 cm cuff, 53 received a ≥ 4 cm cuff, and 22 received a TC cuff (all ≥ 4 cm). TC patients had a significantly higher rate of urinary retention compared to the ≥ 4 cm group [7/22 (32%) versus 4/53 (8%), p = 0.02] as well as a higher rate of suprapubic tube (SPT) placement [6/22 (27%) versus 1/53 (2%), p = 0.007].<br/>
<b>Conclusions:</b> Transcorporal cuff placement is associated with a significantly higher rate of urinary retention and suprapubic tube placement compared to traditional 4 cm cuff placement.},
DOI = {}
}



