Details

Autor(en) / Beteiligte

• Hüsch, Tanja
• Kretschmer, Alexander
• Thomsen, Frauke
• Kronlachner, Dominik
• Kurosch, Martin
• Obaje, Alice
• Anding, Ralf
• Pottek, Tobias
• Rose, Achim
• Olianas, Roberto
• Friedl, Alexander
• Hübner, Wilhelm
• Homberg, Roland
• Pfitzenmaier, Jesco
• Grein, Ulrich
• Queissert, Fabian
• Naumann, Carsten Maik
• Schweiger, Josef
• Wotzka, Carola
• Nyarangi-Dix, Joanne
• Hofmann, Torben
• Ulm, Kurt
• Bauer, Ricarda M.
• Haferkamp, Axel

Titel

Risk Factors for Failure of Male Slings and Artificial Urinary Sphincters: Results from a Large Middle European Cohort Study

Ist Teil von

• Urologia internationalis, 2017-01, Vol.99 (1), p.14-21

Ort / Verlag

Basel, Switzerland

Erscheinungsjahr

2017

Quelle

MEDLINE

Beschreibungen/Notizen

• Introduction: We analysed the impact of predefined risk factors: age, diabetes, history of pelvic irradiation, prior surgery for stress urinary incontinence (SUI), prior urethral stricture, additional procedure during SUI surgery, duration of incontinence, ASA-classification and cause for incontinence on failure and complications in male SUI surgery. Materials and Methods: We retrospectively identified 506 patients with an artificial urinary sphincter (AUS) and 513 patients with a male sling (MS) in a multicenter cohort study. Complication rates were correlated to the risk factors in univariate analysis. Subsequently, a multivariate logistic regression adjusted to the risk factors was performed. A p value <0.05 was considered statistically significant. Results: A history of pelvic irradiation was an independent risk factor for explantation in AUS (p < 0.001) and MS (p = 0.018). Moreover, prior urethral stricture (p = 0.036) and higher ASA-classification (p = 0.039) were positively correlated with explantation in univariate analysis for AUS. Urethral erosion was correlated with prior urethral stricture (p < 0.001) and a history of pelvic irradiation (p < 0.001) in AUS. Furthermore, infection was correlated with additional procedures during SUI surgery in univariate analysis (p = 0.037) in MS. Conclusions: We first identified the correlation of higher ASA-classification and explantation in AUS. Nevertheless, only a few novel risk factors had a significant influence on the failure of MS or AUS.