Key result
Preoperative workup and counseling for artificial urinary sphincter placement provide an opportunity for clinical optimization to potentially reduce the risk of long-term complications.
Why the study?
Although AUS placement is gold standard for bothersome SUI after prostate intervention, up to 50% require reoperation, making preoperative optimization crucial to potentially reduce complications.
Preoperative workup and optimization for AUS surgery can potentially reduce complication risks and align surgery with patient goals.
Preoperative optimization may reduce AUS reoperation risk in post-prostate SUI; hypothesis-generating pending prospective trials.
Patients with bothersome stress urinary incontinence (SUI) after prostate intervention can be managed with conservative therapy, male urethral sling placement, or artificial urinary sphincter (AUS) surgery. Although AUS placement is the gold standard treatment, up to 50% of patients require reoperation for complications in the long term. Preoperative workup and counseling provide an opportunity for clinical optimization that can potentially reduce the risk of complications and ensure that surgery is in line with patients’ goals and expectations. This review highlights contemporary data surrounding components of the preoperative workup, including the evaluation of SUI, the role of urodynamics, the assessment of bother and impact on quality of life, and the significance of frailty and comorbidities in patients undergoing AUS surgery.
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Lee et al. (2024) conducted a review in Stress urinary incontinence (SUI) after prostate intervention. Preoperative workup and optimization for artificial urinary sphincter (AUS) surgery was evaluated. Preoperative workup and counseling for artificial urinary sphincter placement provide an opportunity for clinical optimization to potentially reduce the risk of long-term complications.
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