What is the role of surgery in the treatment of stress urinary incontinence in men?

Updated: Sep 23, 2019
  • Author: Sandip P Vasavada, MD; Chief Editor: Edward David Kim, MD, FACS  more...
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Answer

The transobturator male sling may be of particular benefit to men who experience stress incontinence after prostatectomy. [4]  Artificial sphincter placement is also effective in this population. [102]

The AMS 800 (American Medical Systems, Minnetonka, Minn) artificial urinary sphincter is a standard option for the surgical management of male stress urinary incontinence. A retrospective review by Yafi et al of 27,096 cases of AMS 800 primary implantation determined that 21.1% of cases required either revision or explantation. Younger patient age and penoscrotal surgical approach were associated with higher rates of device explantation and revision, while use of a tandem cuff was associated with higher explantation rates.

For more information, see Artificial Urinary Sphincter Placement.


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