Artificial sphincter insertion after radiotherapy: is it worthwhile?

Abstract:

OBJECTIVE:To determine the influence of radiotherapy on the outcome of artificial urinary sphincter implantation. PATIENTS AND METHODS:A series of 72 men who had an artificial urinary sphincter inserted were reviewed retrospectively, analysing in detail the information from 15 patients with a past history of pelvic radiotherapy. RESULTS:In those who had undergone radiotherapy, the complication rate was higher, both for re-operation (eight of 15) and infection (three); 11 of the 15 patients were continent after surgery, compared with 51 (89%) of the 57 in the unirradiated group. CONCLUSIONS:An artificial sphincter can be inserted after pelvic radiotherapy reasonably successfully, but at the cost of a high complication and re-operation rate. Patients with a previous history of radiotherapy should be informed of the higher risk of surgical revision associated with insertion of the prosthesis.

journal_name

BJU Int

journal_title

BJU international

authors

Manunta A,Guillé F,Patard JJ,Lobel B

doi

10.1046/j.1464-410x.2000.00484.x

keywords:

subject

Has Abstract

pub_date

2000-03-01 00:00:00

pages

490-2

issue

4

eissn

1464-4096

issn

1464-410X

pii

bju484

journal_volume

85

pub_type

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