Hüsch, Tanja; Kretschmer, Alexander; Thomsen, Frauke; Kronlachner, Dominik; Kurosch, Martin; 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; Hofmann, Torben; Ulm, Kurt; Bauer, Ricarda M.; Haferkamp, Axel (2017): Risk Factors for Failure of Male Slings and Artificial Urinary Sphincters: Results from a Large Middle European Cohort Study. In: Urologia internationalis, Vol. 99, No. 1: pp. 14-21 |
Abstract
Introduction: We analysed the impact of predefined risk factors: age, diabetes, history of pelvic irradiation, prior surgery for stress urinary incontinence (SUI), prior urethral stricture, additional procedure during SUI surgery, duration of incontinence, ASA-classification and cause for incontinence on failure and complications in male SUI surgery. Materials and Methods: We retrospectively identified 506 patients with an artificial urinary sphincter (AUS) and 513 patients with a male sling (MS) in a multicenter cohort study. Complication rates were correlated to the risk factors in univariate analysis. Subsequently, a multivariate logistic regression adjusted to the risk factors was performed. A p value <0.05 was considered statistically significant. Results: A history of pelvic irradiation was an independent risk factor for explantation in AUS (p < 0.001) and MS (p = 0.018). Moreover, prior urethral stricture (p = 0.036) and higher ASA-classification (p = 0.039) were positively correlated with explantation in univariate analysis for AUS. Urethral erosion was correlated with prior urethral stricture (p < 0.001) and a history of pelvic irradiation (p < 0.001) in AUS. Furthermore, infection was correlated with additional procedures during SUI surgery in univariate analysis (p = 0.037) in MS. Conclusions: We first identified the correlation of higher ASA-classification and explantation in AUS. Nevertheless, only a few novel risk factors had a significant influence on the failure of MS or AUS.
Item Type: | Journal article |
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Faculties: | Medicine |
Subjects: | 600 Technology > 610 Medicine and health |
ISSN: | 0042-1138 |
Language: | English |
ID Code: | 55266 |
Deposited On: | 14. Jun 2018 09:58 |
Last Modified: | 04. Nov 2020 13:35 |
- BASE
- Hüsch, Tanja
- Kretschmer, Alexander
- Thomsen, Frauke
- Kronlachner, Dominik
- Kurosch, Martin
- 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
- Hofmann, Torben
- Ulm, Kurt
- Bauer, Ricarda M.
- Haferkamp, Axel
- Google Scholar
- Hüsch, Tanja
- Kretschmer, Alexander
- Thomsen, Frauke
- Kronlachner, Dominik
- Kurosch, Martin
- 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
- Hofmann, Torben
- Ulm, Kurt
- Bauer, Ricarda M.
- Haferkamp, Axel