- Artificial urinary sphincter (AUS) implantation may improve sexual satisfaction in men with total stress urinary incontinence (SUI) after radical prostatectomy.
Why this matters
- Although AUS implantation is an effective treatment for SUI, little is known about postoperative erectile function and sexual satisfaction.
- Researchers studied men who underwent AUS implantation via a perineal approach (N=14; mean age, 66.92±4.51 years; age range, 58-73 years).
- They evaluated erectile function and sexual satisfaction both preoperatively and at 6‐month follow‐up, using International Index of Erectile Function (IIEF) questionnaires.
- Funding: None disclosed.
- After AUS implantation, 8 patients were totally dry, 4 achieved social continence (using
- The mean preoperative IIEF score was 16.14±3.18; the mean follow-up score was 17.42±4.43.
- The mean preoperative sexual satisfaction value was 8.57±1.78; mean follow-up value was 8.71±2.19.
- Researchers found no significant difference between preprocedure and follow-up measures of erectile function and sexual satisfaction (P>.05), but hypothesize that controlling incontinence with AUS reduces sexual avoidance.
- The study was single center with a sample that was too small to support detailed statistical analysis.