ㅤTake-home message from Abrams 2021 paper:
There was no difference in continence rates between the male sling and artificial urinary sphincter (AUS) insertion for men with post-prostatectomy incontinence.
Incontinence symptoms improved for men undergoing both treatments.
ㅤTake-home message from Walsh 2002, published in British Journal of Urology International:
This study assessed safety, efficacy and satisfaction following Artificial urinary sphincter (AUS) implantation for post prostatectomy incontinence in irradiated and unirradiated patients.
Overall, surgical revision was equally common in irradiated (36%) and unirradiated (24%) patients.
After activating the AUS, urethral atrophy, infection and erosion requiring surgical revision were more common in irradiated patients (41% vs. 11%; P < 0.05)
70% of patients reported a significant improvement in continence, regardless of previous irradiation.
Patient satisfaction remained high, with > 80% of patients stating that they would undergo surgery again and/or recommend it to others, despite previous irradiation and/or the need for surgical revision.