- Dual implantation of artificial urinary sphincter (AUS) and 3-piece inflatable penile prosthesis (IPP) can be performed safely in patients with neobladder without long-term risk for infection and reservoir-related complications.
Why this matters
- Many patients with neobladder are affected both by erectile dysfunction (ED) and urinary incontinence (UI), despite the availability of excellent treatment options such as the AUS and IPP, say researchers.
- Researchers analyzed the health records of patients who underwent radical cystectomy and neobladder followed by AUS and IPP implantation (n=39).
- They compared perioperative data and postoperative outcomes with a those of matched group of patients without neobladder (n=48).
- Funding: None.
- Neobladder was not an independent risk factor for AUS revision, AUS erosion, AUS failure, IPP infection, or IPP failure.
- Independent predictors of AUS infection for patients with dual implants included increasing age (OR, 1.32; P=.041) and diabetes (OR, 71.3; P=.035).
- The odds of AUS failure increased with smoking history (OR, 6.27; P=.020) and previous pelvic radiotherapy (OR, 6.14; P=.038).
- The study was retrospective and single-center.