Open Access

RESIDENT’S CORNER

Simultaneous cuff revision and placement of an AdVance male sling for persistent post-prostatectomy urinary incontinence initially managed with AMS 800 artificial urinary sphincter

Thomas W. Fuller, Benjamin T. Ristau, Ronald M. Benoit

Department of Urology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
Address correspondence to Dr. Thomas W. Fuller, Department of Urology, University of Pittsburgh Medical Center, 3471 Fifth Ave, Kaufmann Bldg, Suite 700, Pittsburgh, PA 15213 USA

Canadian Journal of Urology 2014, 21(5), 7507-7509.

Abstract

Placement of an artificial urinary sphincter (AUS) remains the gold standard for treatment of stress urinary incontinence after radical prostatectomy. Persistent or recurrent incontinence after AUS placement can occur. Options then include cuff revision or placement of a retrourethral transobturator sling (RTS), among other alternatives. This report describes simultaneous cuff revision and placement of a RTS for management of refractory stress urinary incontinence after radical prostatectomy. This approach obviates the need for additional procedures if one approach fails. This is especially valuable for patients averse to operative intervention and those at high risk for general anesthesia.

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