Mp03-20 Functional Results of 3.5 Cm Cuffs Compared to Other Cuffs in Men With an Artificial Urinary Sphincter

You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Male Incontinence (MP03)1 May 2024MP03-20 FUNCTIONAL RESULTS OF 3.5 CM CUFFS COMPARED TO OTHER CUFFS IN MEN WITH AN ARTIFICIAL URINARY SPHINCTER Sylvia Weis, Benoit Peyronnet, Imad Bentellis, Xavier Biardeau, Grégoire Capon, Pierre Lecoanet, Thibault Tricard, Franck Bruyère, Christian Saussine, Xavier Gamé, Jean-Nicolas Cornu, and Nicolas Hermieu Sylvia WeisSylvia Weis , Benoit PeyronnetBenoit Peyronnet , Imad BentellisImad Bentellis , Xavier BiardeauXavier Biardeau , Grégoire CaponGrégoire Capon , Pierre LecoanetPierre Lecoanet , Thibault TricardThibault Tricard , Franck BruyèreFranck Bruyère , Christian SaussineChristian Saussine , Xavier GaméXavier Gamé , Jean-Nicolas CornuJean-Nicolas Cornu , and Nicolas HermieuNicolas Hermieu View All Author Informationhttps://doi.org/10.1097/01.JU.0001009488.55564.85.20AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: To evaluate the functional outcomes of 3.5 cm artificial sphincter (AUS) cuffs compared with 4 to 4.5 cm cuffs in men. METHODS: Retrospective analysis of a French multicenter database of AUS in men between 1991 and 2020. Exclusion criteria: cuff >4.5 cm, follow-up <6 months. Primary endpoint: AUS explantation rate; secondary endpoints: social continence rate at the end of the follow-up, postoperative complications according to Clavien-Dindo, urethral erosion rate. The cohort was divided into two groups: 3.5 cm cuffs (A) vs. 4 to 4.5 cm cuffs (B). Statistical analysis on the primary endpoint: descriptive statistics, analysis of survival without explantation according to Kaplan-Meier and Cox model. RESULTS: Out of 1253 patients analyzed, 710 were included, 73 in group A and 637 in group B. Median age: 70 years (65-75); median follow-up: 34 months (17-64). The AUS explantation rate was higher in group A than in group B (A: n=26 (35.6%) vs B: n=150 (23.5%), p<0.05) with shorter survival without explantation in group A than in group B (hazard ratio HR=1.8 1.06-3.1). In addition, the rate of social continence at the end of follow-up was lower in group A than in group B (A: n=30 (41.1%) vs B: n=342 (53.7%); OR=0.43 0.2-0.9, p<0.05) and the rate of postoperative complications was higher in group A than in group B (A: n=15 (20.5%) vs B : n=68 (10.7%); OR=2,2 1,1-4,2, p<0.05). On the other hand, the rate of AUS erosion was not significantly different between group A and group B (A: n=12 (16.4%) vs B: n=73 (11.5%); OR=1,5 (0,7-3,0], p=0.25). CONCLUSIONS: In this study, 3.5 cm AUS cuffs showed a higher rate of explantation and postoperative complications than larger size cuffs, while resulting in a lower rate of social continence. On the other hand, no difference was demonstrated in terms of urethral erosion between these different sizes of cuffs. Download PPT Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e30 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Sylvia Weis More articles by this author Benoit Peyronnet More articles by this author Imad Bentellis More articles by this author Xavier Biardeau More articles by this author Grégoire Capon More articles by this author Pierre Lecoanet More articles by this author Thibault Tricard More articles by this author Franck Bruyère More articles by this author Christian Saussine More articles by this author Xavier Gamé More articles by this author Jean-Nicolas Cornu More articles by this author Nicolas Hermieu More articles by this author Expand All Advertisement PDF downloadLoading ...