Kretschmer, Alexander; Hüsch, Tanja; Thomsen, Frauke; Kronlachner, Dominik; Obaje, Alice; Anding, Ralf; Pottek, Tobias; Rose, Achim; Olianas, Roberto; Friedl, Alexander; Hübner, Wilhelm; Homberg, Roland; Pfitzenmaier, Jesco; Grein, Ulrich; Queissert, Fabian; Naumann, Carsten Maik; Schweiger, Josef; Wotzka, Carola; Nyarangi-Dix, Joanne N.; Hofmann, Torben; Seiler, Roland; Haferkamp, Axel; Bauer, Ricarda M. (2016): Complications and Short-Term Explantation Rate Following Artificial Urinary Sphincter Implantation: Results from a Large Middle European Multi-Institutional Case Series. In: Urologia internationalis, Vol. 97, No. 2: pp. 205-211 |
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Abstract
Background/Aims/Objectives: To analyze perioperative complication and short-term explantation rates after perineal or penoscrotal single-cuff and double-cuff artificial urinary sphincter (AUS) implantation in a large middle European multi-institutional patient cohort. Methods: 467 male patients with stress urinary incontinence underwent implantation of a perineal single-cuff (n = 152), penoscrotal single-cuff (n = 99), or perinea! double-cuff (n = 216) AUS between 2010 and 2012. Postoperative complications and 6-month explantation rates were assessed. For statistical analysis, Fisher's exact test and Kruskal Wallis rank sum test, and a multiple logistic regression model were used (p < 0.05). Results: Compared to perineal single-cuff AUS, penoscrotal single-cuff implantation led to significantly increased short-term explantation rates (8.6% (perinea)) vs. 19.2% (penoscrotal), p = 0.019). The postoperative infection rate was significantly higher after double-cuff compared to single cuff implantation (6.0% (single-cuff) vs. 13.9% (double-cuff), p = 0.019). The short-term explantation rate after primary double-cuff placement was 6.5% (p = 0.543 vs. perineal single -cuff). In multivariate analysis, the penoscrotal approach (p = 0.004), intraoperative complications (p = 0.005), postoperative bleeding (p = 0.011), and perioperative infection (p < 0.001) were independent risk factors for short-term explantation. Conclusions: Providing data from a large contemporary multi-institutional patient cohortfrom high-volume and low-volume institutions, our results reflect the current standard of care in middle Europe. We indicate that the penoscrotal approach is an independent risk factor for increased short-term explantation rates. (C) 2016 S. Karger AG, Basel
Item Type: | Journal article |
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Faculties: | Medicine |
Subjects: | 600 Technology > 610 Medicine and health |
URN: | urn:nbn:de:bvb:19-epub-44981-3 |
ISSN: | 0042-1138 |
Alliance/National Licence: | This publication is with permission of the rights owner freely accessible due to an Alliance licence and a national licence (funded by the DFG, German Research Foundation) respectively. |
Language: | English |
ID Code: | 44981 |
Deposited On: | 27. Apr 2018 08:07 |
Last Modified: | 04. Nov 2020 13:21 |
- BASE
- Kretschmer, Alexander
- Hüsch, Tanja
- Thomsen, Frauke
- Kronlachner, Dominik
- Obaje, Alice
- Anding, Ralf
- Pottek, Tobias
- Rose, Achim
- Olianas, Roberto
- Friedl, Alexander
- Hübner, Wilhelm
- Homberg, Roland
- Pfitzenmaier, Jesco
- Grein, Ulrich
- Queissert, Fabian
- Naumann, Carsten Maik
- Schweiger, Josef
- Wotzka, Carola
- Nyarangi-Dix, Joanne N.
- Hofmann, Torben
- Seiler, Roland
- Haferkamp, Axel
- Bauer, Ricarda M.
- Google Scholar
- Kretschmer, Alexander
- Hüsch, Tanja
- Thomsen, Frauke
- Kronlachner, Dominik
- Obaje, Alice
- Anding, Ralf
- Pottek, Tobias
- Rose, Achim
- Olianas, Roberto
- Friedl, Alexander
- Hübner, Wilhelm
- Homberg, Roland
- Pfitzenmaier, Jesco
- Grein, Ulrich
- Queissert, Fabian
- Naumann, Carsten Maik
- Schweiger, Josef
- Wotzka, Carola
- Nyarangi-Dix, Joanne N.
- Hofmann, Torben
- Seiler, Roland
- Haferkamp, Axel
- Bauer, Ricarda M.