{"title":"Revision of Failed Artificial Urinary Sphincter: A Comprehensive Review.","authors":"Mohamed Ramez, O Lenaine Westney, Thomas G Smith","doi":"10.1007/s11934-025-01299-9","DOIUrl":null,"url":null,"abstract":"<p><p>PURPOSE OF REVIEW: This paper presents a thorough review of the management of patients requiring revision of a previously placed artificial urinary sphincter. The symptoms at presentation and clinical evaluation, along with surgical techniques, are described in detail. RECENT FINDINGS: Fortunately for the urologic surgeon, revision and replacement of the artificial urinary sphincter is an uncommon event. Recent research on the procedure focuses on strategies to prevent future revision surgeries, such as a modified surgical technique or interposition of flaps or tissue substitutes between the urethra and the sphincter cuff. Revision and replacement surgery for an artificial urinary sphincter is a challenging procedure requiring thorough pre-operative evaluation, detailed knowledge of the male perineal anatomy, and a surgical plan that includes multiple surgical approaches for any given patient. Future research should focus on the identification of patient factors and prevention of device complications to prevent or reduce the need for revision surgery. </p>","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"26 1","pages":"76"},"PeriodicalIF":3.2000,"publicationDate":"2025-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Current Urology Reports","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s11934-025-01299-9","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
PURPOSE OF REVIEW: This paper presents a thorough review of the management of patients requiring revision of a previously placed artificial urinary sphincter. The symptoms at presentation and clinical evaluation, along with surgical techniques, are described in detail. RECENT FINDINGS: Fortunately for the urologic surgeon, revision and replacement of the artificial urinary sphincter is an uncommon event. Recent research on the procedure focuses on strategies to prevent future revision surgeries, such as a modified surgical technique or interposition of flaps or tissue substitutes between the urethra and the sphincter cuff. Revision and replacement surgery for an artificial urinary sphincter is a challenging procedure requiring thorough pre-operative evaluation, detailed knowledge of the male perineal anatomy, and a surgical plan that includes multiple surgical approaches for any given patient. Future research should focus on the identification of patient factors and prevention of device complications to prevent or reduce the need for revision surgery.
期刊介绍：
This journal intends to review the most important, recently published findings in the field of urology. By providing clear, insightful, balanced contributions by international experts, the journal elucidates current and emerging approaches to the care and prevention of urologic diseases and conditions.
We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as benign prostatic hyperplasia, erectile dysfunction, female urology, and kidney disease. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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