%0 Journal Article
%T Factors affecting the success and complications of artificial urinary sphincter implantation and our long-term outcomes (25 years of experience)
%J -
%D 2018
%X Objective: In this study we investigated the factors affecting both our success and complication rates in patients undergone artificial urinary sphincter (AUS) implantation and our long-term results. Material and Methods: Data from 82 patients which were performed a total of 97 AUS implantation (including 13 recurrent patients; 2 were performed 3 times and 11 were performed 2 times) in Urology Clinic of Ankara D£¿skap£¿ Training and Research Hospital between the years 1990 and 2015 were analyzed retrospectively. Degree and amount of incontinence and quality of life were evaluated by International Consultation on Incontinence Questionnaire-Short Form (ICIQ-UI SF), pad test and the 5th question in ICIQ-UI SF, respectively. Mean age of our patients were 66.2 (15-79) years while mean follow-up period was 76 (6-300) months. Two groups were composed as AUS implantation one time and recurrent times and the results were compared. Results: Of our AUS implantated patients, we noticed complete dryness in 57 (69.5%), social continence in 15(18.2%) and incontinence in 10 (12.1%). Of the 13 recurrent patients, we noticed complete dryness in 5 (38.4%), social continence in 5 (38.4%) an incontinence in 3 (23.07%). When compared; symptom score, amount of incontinence and quality of life score results seemed to be better in the 1 time AUS performed group than the recurrent group, but it was not statistically significant. Complication rate was 20.7% including infection and/or cuff erosion in 12 patients and mechanical failure in 5 patients. Conclusion: AUS is the most effective treatment method of incontinence in appropriate patients. We believe that it may be preferable by considering cost analysis and revision and re-implantation facilities in terms of being a safe and economical procedure
%K ¨¹retra
%K prostatektomi
%K Artifisyel ¨¹riner Sfinkter
%U http://dergipark.org.tr/yud/issue/42941/520444