Artificial Urinary Sphincter Complications: Risk Factors, Workup, and Clinical Approach

Academic Article


  • Purpose of Review: To review risk factors for AUS complications and present a systematic approach to their diagnosis and management. Recent Findings: Established risk factors for AUS complications include catheterization, channel TURP, pelvic radiation, urethroplasty, anticoagulation, cardiovascular disease, diabetes mellitus, frailty index, hypertension, low albumin, and low testosterone. We present our algorithm for diagnosis and management of AUS complications. Summary: Despite being the gold standard of treatment for men with SUI, major and minor complications can occur at any point after AUS insertion. Careful consideration of the urologic, medical, and operative risk factors for each patient can help prevent complications. A systematic approach to early and late complications facilitates their identification and effective management. The evaluating urologist must have a thorough understanding of potential AUS complications in order to restore quality of life in men with bothersome SUI.
  • Authors

    Published In

    Digital Object Identifier (doi)

    Author List

  • Khouri RK; Ortiz NM; Dropkin BM; Joice GA; Baumgarten AS; Morey AF; Hudak SJ
  • Volume

  • 22
  • Issue

  • 5