TY - JOUR
AU - Nakagawa, Haruo
AB - Objectives: Although the artificial urinary sphincter (AUS) is one of the most effective surgical treatments for severe urinary incontinence, little is known about its use in Japan. A nationwide survey was done to determine contemporary trends in AUS use and its long‐term durability. Methods: Data on AUS units sold in Japan were provided directly by Takai Hospital Supply Co., Ltd., Tokyo, Japan, and a survey form was sent to all 44 institutes where AUS implantation had been carried out. The survey included various demographic and preoperative variables, surgical variables, and postoperative outcomes. Results: Between 1994 and 2007, a total of 100 AUS devices had been provided in Japan. Of the 44 institutes, 24 responded to the survey, and a total of 64 patients were enrolled in the study. Post‐urological surgery incontinence accounted for 81.3% of the indications. During the mean follow‐up of 50 months, mechanical failure occurred in four (6.2%), and the device was removed in 13 (20.3%) due to infection (14.0%), erosion (4.7%), or urination difficulty (1.5%). Of the 58 patients evaluated, 91.4% reported social continence. Five‐ and 10‐year failure‐free rates were 74.8% and 70.1%, respectively. On multivariate analysis, operative time was an independent predictor of treatment failure (P = 0.0334). Conclusions: Considering recent trends in prostate surgery, the AUS may be significantly underused in Japan. Although excellent long‐term durability has been achieved, a learning effect appears to be evident. The Japanese urological community needs to provide appropriate patients with this treatment option.
TI - Current use of the artificial urinary sphincter and its long‐term durability: A nationwide survey in Japan
JF - International Journal of Urology
DO - 10.1111/j.1442-2042.2008.02176.x
DA - 2009-01-01
UR - https://www.deepdyve.com/lp/wiley/current-use-of-the-artificial-urinary-sphincter-and-its-long-term-p0EcWtrfaj
SP - 101
VL - 16
IS - 1
DP - DeepDyve
ER -