agxАндрология и генитальная хирургияAndrology and Genital Surgery2070-97812412-890210.17650/1726-9784-2022-23-1-21-29agx-541Research ArticleОБЗОРНАЯ СТАТЬЯREVIEWИмплантация искусственного мочевого сфинктера при недержании мочи после радикальной простатэктомии (современные аспекты)Implantation of an artificial urinary sphincter for urinary incontinence after radical prostatectomy (current aspects)РамазановК. К.RamazanovK. K.

127473 Москва, ул. Делегатская, 20, стр.1

127206 Москва, ул. Вучетича, 21

Bld. 1, 20 Delegatskaya St., Moscow 127473

12 Vuchetich St., Moscow 127206

https://orcid.org/0000-0002-1017-7470АхвледианиН. Д.AkhvledianiN. D.

Ника Джумберович Ахвледиани  

127473 Москва, ул. Делегатская, 20, стр.1

127206 Москва, ул. Вучетича, 21

Nika Dzhumberovich Akhvlediani 

Bld. 1, 20 Delegatskaya St., Moscow 127473

12 Vuchetich St., Moscow 127206

nikandro@mail.ruhttps://orcid.org/0000-0002-7285-4246СадченкоА. В.SavchenkoA. V.

127206 Москва, ул. Вучетича, 21

12 Vuchetich St., Moscow 127206

https://orcid.org/0000-0002-6096-5723ПушкарьД. Ю.PushkarD. Y.

127473 Москва, ул. Делегатская, 20, стр.1

127206 Москва, ул. Вучетича, 21

Bld. 1, 20 Delegatskaya St., Moscow 127473

12 Vuchetich St., Moscow 127206

Кафедра урологии ФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова» Минздрава России; ГБУЗ «Городская клиническая больница им. С.И. Спасокукоцкого Департамента здравоохранения города Москвы»РоссияDepartment of Urology, A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of Russia; City Clinical Hospital n.a. S.I. Spasokukotsky of the Moscow Department of HealthRussian FederationГБУЗ «Городская клиническая больница им. С.И. Спасокукоцкого Департамента здравоохранения города Москвы»РоссияCity Clinical Hospital n.a. S.I. Spasokukotsky of the Moscow Department of HealthRussian Federation2022170320222312129Copyright © Рамазанов К.К., Ахвледиани Н.Д., Садченко А.В., Пушкарь Д.Ю., 20222022Рамазанов К.К., Ахвледиани Н.Д., Садченко А.В., Пушкарь Д.Ю.Ramazanov K.K., Akhvlediani N.D., Savchenko A.V., Pushkar D.Y.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://agx.elpub.ru/jour/article/view/541

Стрессовое недержание мочи – состояние, приводящее к инвалидизации мужчин, его наиболее частой причиной является радикальная простатэктомия. Имплантация искусственного мочевого сфинктера остается «золотым стандартом» оперативной коррекции данного патологического состояния средней и тяжелой степени. В статье представлен обзор литературы по результатам сравнительной эффективности и безопасности имплантации искусственного мочевого сфинктера у мужчин.Цель исследования – изучение современных концепций имплантации искусственного мочевого сфинктера у мужчин, а также его эффективности и безопасности.Поиск литературы проводился в базах данных PubMed/Medline и SCOPUS с использованием ключевых слов: «стрессовое недержание мочи», «радикальная простатэктомия» и «искусственный мочевой сфинктер». Критериями включения исследований в обзор были средний период наблюдения более 12 мес и определение успешности результата как использование не более 1 прокладки в день, также рассматривались работы по оценке эффективности имплантации протеза последней давности на большой выборке больных. Отдельное внимание уделено аспектам исторического развития искусственного мочевого сфинктера, проблемам сравнения эффективности мужских слингов и искусственного мочевого сфинктера, а также симультанной имплантации сфинктера и фаллопротеза. Нами использованы 43 статьи, соответствующие критериям включения, реализации нашей цели и поставленным задачам.В рассмотренной литературе эффективность и безопасность внедрения изучены преимущественно (70 %) в отношении имплантата AMS 800. Отмечено, что частота ревизий при его внедрении может достигать 30 %. В отношении других моделей искусственных сфинктеров мочевого пузыря сведения представлены скудно. Сравнение эффективности имплантации искусственного мочевого сфинктера и мужского слинга проводилось преимущественно на не сравнимых по степени тяжести недержания мочи группах пациентов. Наибольшее влияние на выбор одновременной или последовательной имплантации пенильных протезов и искусственного мочевого сфинктера оказывают предпочтения пациентов и стоимость.Имплантация АМS 800 является эффективным, но не идеальным по безопасности методом оперативного лечения стрессовой формы недержания мочи у мужчин. Необходимы разработка и изучение новых протезов данной категории.

Stress urinary incontinence is a debilitating condition for men, caused in most cases by radical prostatectomy. Implantation of an artificial urinary sphincter is the “golden standard” of operative correction of this pathological condition in intermediate and severe cases. The article present literature review on comparative effectiveness and safety of implantation of an artificial urinary sphincter in men.The study objective is to study the current concepts of implantation of an artificial urinary sphincter in males, as well as its effectiveness and safety.Literature search was performed using PubMed/Medline and SCOPUS databases with the following key words: stress urinary incontinence, radical prostatectomy, artificial urinary sphincter. Inclusion criteria for the studies were follow-up longer than 12 months and definition of successful result as use of 1 or less liner a day; current studies on effectiveness of prosthesis implantation with large patient population were also included. Special focus was made on the historical development of artificial sphincters, problems of comparison of the effectiveness of male slings and artificial urinary sphincter, as well as simultaneous implantation of a sphincter and a penile prosthesis. We have used 43 articles complying with the inclusion criteria, our aim, and objectives.In the considered literature, effectiveness and safety of implantation were studied primarily (70 %) for the AMS 800 implant. It was noted that the frequency of revisions of its implantation can reach 30 %. For other models of artificial sphincters, the data is sparce. Comparison of the effectiveness of artificial sphincter and male sling implantations mostly was performed for patient groups with incomparable severity of urinary incontinence. Patients’ preferences and cost had the largest effect on the choice of single-step or subsequent implantation of a penile prosthesis and an artificial urinary sphincter.Implantation of АМS 800 is an effective but not perfectly safe method of operative treatment of stress urinary incontinence in males. Development and study of new prostheses of this category are necessary.

стрессовое недержание мочирадикальная простатэктомияискусственный мочевой сфинктерstress urinary incontinenceradical prostatectomyartificial urinary sphincterReferencesSacco E., Prayer-Galetti T., Pinto F. et al. Urinary incontinence after radical prostatectomy: incidence by definition, risk factors and temporal trend in a large series with a long-term follow-up. BJU Int 2006;97(6):1234–41. DOI: 10.1111/j.1464 410X.2006.06185.x.Sacco E., Prayer-Galetti T., Pinto F. et al. Urinary incontinence after radical prostatectomy: incidence by definition, risk factors and temporal trend in a large series with a long-term follow-up. BJU Int 2006;97(6):1234–41. DOI: 10.1111/j.1464 410X.2006.06185.x.Bauer R.M., Ameli G., Schultz-Lampel D., Rutkowski M. Stress urinary incontinence in men. Urologe A 2021;60(1):109–18. (In Germ.). DOI: 10.1007/s00120-020-01395-3.Bauer R.M., Ameli G., Schultz-Lampel D., Rutkowski M. Stress urinary incontinence in men. Urologe A 2021;60(1):109–18. (In Germ.). DOI: 10.1007/s00120-020-01395-3.Burkhard F.C., Bosch J.L.H.R., Cruz F. et al. Urinary Incontinence / Guidelines of European Association of Urology (EAU). Available at: https://uroweb.org/guideline/urinary-incontinence/.Burkhard F.C., Bosch J.L.H.R., Cruz F. et al. Urinary Incontinence / Guidelines of European Association of Urology (EAU). Available at: https://uroweb.org/guideline/urinary-incontinence/.Van der Aa F., Drake M.J., Kasyan G.R. et al. The artificial urinary sphincter after a quarter of a century: a critical systematic review of its use in male non-neurogenic incontinence. Eur Urol 2013;63(4):681–9. DOI: 10.1016/j.eururo.2012.11.034.Van der Aa F., Drake M.J., Kasyan G.R. et al. The artificial urinary sphincter after a quarter of a century: a critical systematic review of its use in male non-neurogenic incontinence. Eur Urol 2013;63(4):681–9. DOI: 10.1016/j.eururo.2012.11.034.Sacco E., Gandi C., Marino F. et al. Artificial urinary sphincter significantly better than fixed sling for moderate post-prostatectomy stress urinary incontinence: a propensity score-matched study. BJU Int 2021;127(2):229–37. DOI: 10.1111/bju.15197.Sacco E., Gandi C., Marino F. et al. Artificial urinary sphincter significantly better than fixed sling for moderate post-prostatectomy stress urinary incontinence: a propensity score-matched study. BJU Int 2021;127(2):229–37. DOI: 10.1111/bju.15197.Foley F.E.B. An artificial sphincter; a new device and operation for control of enuresis and urinary incontinence. J Urol 1947;58(4):250–9. DOI: 10.1016/s0022-5347(17)69552-1.Foley F.E.B. An artificial sphincter; a new device and operation for control of enuresis and urinary incontinence. J Urol 1947;58(4):250–9. DOI: 10.1016/s0022-5347(17)69552-1.Scott F.B., Bradley W.E., Timm G.W. Treatment of urinary incontinence by implantable prosthetic sphincter. Urology 1973;1(3):252–9. DOI: 10.1016/0090-4295(73)90749-8.Scott F.B., Bradley W.E., Timm G.W. Treatment of urinary incontinence by implantable prosthetic sphincter. Urology 1973;1(3):252–9. DOI: 10.1016/0090-4295(73)90749-8.Rouse D.J., Brown J.N. Jr., Whitten R.P. Methodology for NASA technology transfer in medicine. Med Instrum 1981;15(4):234–6.Rouse D.J., Brown J.N. Jr., Whitten R.P. Methodology for NASA technology transfer in medicine. Med Instrum 1981;15(4):234–6.Furlow W.L. Implantation of a new semiautomatic artificial genitourinary sphincter: Experience with primary activation and deactivation in 47 patients. J Urol 1981;126(6):741–4. DOI: 10.1016/s0022-5347(17)54726-6.Furlow W.L. Implantation of a new semiautomatic artificial genitourinary sphincter: Experience with primary activation and deactivation in 47 patients. J Urol 1981;126(6):741–4. DOI: 10.1016/s0022-5347(17)54726-6.Light J.K., Reynolds J.C. Impact of the new cuff design on reliability of the AS800 artificial urinary sphincter. J Urol 1992;147(3):609–11. DOI: 10.1016/s0022-5347(17)37319-6.Light J.K., Reynolds J.C. Impact of the new cuff design on reliability of the AS800 artificial urinary sphincter. J Urol 1992;147(3):609–11. DOI: 10.1016/s0022-5347(17)37319-6.Elliott D.S., Barrett D.M. Mayo Clinic long-term analysis of the functional durability of the AMS 800 artificial urinary sphincter: a review of 323 cases. J Urol 1998;159(4):1206–8.Elliott D.S., Barrett D.M. Mayo Clinic long-term analysis of the functional durability of the AMS 800 artificial urinary sphincter: a review of 323 cases. J Urol 1998;159(4):1206–8.Carson C. Artificial urinary sphincter: current status and future directions. Asian J Androl 2020;22(2):154–7. DOI: 10.4103/aja.aja_5_20.Carson C. Artificial urinary sphincter: current status and future directions. Asian J Androl 2020;22(2):154–7. DOI: 10.4103/aja.aja_5_20.Ostrowski I., Blewniewski M., Neugart F. et al. Multicentre experience with ZSI 375 artificial urinary sphincter for the treatment of stress urinary incontinence in men. Urologia 2017;84(3):148–52. DOI: 10.5301/uj.5000246.Ostrowski I., Blewniewski M., Neugart F. et al. Multicentre experience with ZSI 375 artificial urinary sphincter for the treatment of stress urinary incontinence in men. Urologia 2017;84(3):148–52. DOI: 10.5301/uj.5000246.Ostrowski I., Ciechan J., Sledz E. et al. Four-year follow-up on a Zephyr Surgical Implants 375 artificial urinary sphincter for male urinary incontinence from one urological centre in Poland. Cent European J Urol 2018;71(3):320–5. DOI: 10.5173/ceju.2018.1704.Ostrowski I., Ciechan J., Sledz E. et al. Four-year follow-up on a Zephyr Surgical Implants 375 artificial urinary sphincter for male urinary incontinence from one urological centre in Poland. Cent European J Urol 2018;71(3):320–5. DOI: 10.5173/ceju.2018.1704.Weibl P., Hoelzel R., Rutkowski M., Huebner W. VICTO and VICTO-plus – novel alternative for the management of postprostatectomy incontinence. Early perioperative and postoperative experience. Cent Eur J Urol 2018;71(2):248–9. DOI: 10.5173/ceju.2018.1655.Weibl P., Hoelzel R., Rutkowski M., Huebner W. VICTO and VICTO-plus – novel alternative for the management of postprostatectomy incontinence. Early perioperative and postoperative experience. Cent Eur J Urol 2018;71(2):248–9. DOI: 10.5173/ceju.2018.1655.Ludwig T.A., Reiss P., Wieland M. et al. The ARTUS device: The first feasibility study in human cadavers. Can J Urol 2015;22(6):8100–4.Ludwig T.A., Reiss P., Wieland M. et al. The ARTUS device: The first feasibility study in human cadavers. Can J Urol 2015;22(6):8100–4.Lima S.V.C., de Barros E.G.C., de Oliveira Vilaret F. et al. Artificial sphincter “BR – SL – AS 904” in the treatment of urinary incontinence after radical prostatectomy: Efficacy, practicality and safety in a prospective and multicenter study. Int Braz J Urol 2018;44(6):1215–23. DOI: 10.1590/S16775538.IBJU.2018.0128.Lima S.V.C., de Barros E.G.C., de Oliveira Vilaret F. et al. Artificial sphincter “BR – SL – AS 904” in the treatment of urinary incontinence after radical prostatectomy: Efficacy, practicality and safety in a prospective and multicenter study. Int Braz J Urol 2018;44(6):1215–23. DOI: 10.1590/S16775538.IBJU.2018.0128.Касян Г.Р., Ахвледиани Н.Д., Лысачев Д.А. и др. Недержание мочи у мужчин. Методические рекомендации № 60. М.: АБВ-пресс, 2019. Доступно по: http://www.urogynecology.ru/files/nodus_items/0001/0784/file-784-1586498199.pdf. [Kasyan G.R., Akhvlediani N.D., Lysachev D.A. Incontinence in men. Methodological recommendations No. 60. Moscow: ABV-press, 2019. Available at: http://www.urogynecology.ru/files/nodus_items/0001/0784/file-784-1586498199.pdf. (In Russ.)].Касян Г.Р., Ахвледиани Н.Д., Лысачев Д.А. и др. Недержание мочи у мужчин. Методические рекомендации № 60. М.: АБВ-пресс, 2019. Доступно по: http://www.urogynecology.ru/files/nodus_items/0001/0784/file-784-1586498199.pdf. [Kasyan G.R., Akhvlediani N.D., Lysachev D.A. Incontinence in men. Methodological recommendations No. 60. Moscow: ABV-press, 2019. Available at: http://www.urogynecology.ru/files/nodus_items/0001/0784/file-784-1586498199.pdf. (In Russ.)].Guralnick M.L., Miller E., Toh K.L., Webster G.D. Transcorporeal artificial urinary sphincter cuff placement in cases requiring revision for erosion and urethral atrophy. J Urol 2002;167(5):2075–8; discussion 2079.Guralnick M.L., Miller E., Toh K.L., Webster G.D. Transcorporeal artificial urinary sphincter cuff placement in cases requiring revision for erosion and urethral atrophy. J Urol 2002;167(5):2075–8; discussion 2079.Wilson S.K., Delk J.R. 2nd, Henry G.D., Siegel A.L. New surgical technique for sphincter urinary control system using upper transverse scrotal incision. J Urol 2003;169(1):261–4. DOI: 10.1097/01.ju.0000040661.45037.47.Wilson S.K., Delk J.R. 2nd, Henry G.D., Siegel A.L. New surgical technique for sphincter urinary control system using upper transverse scrotal incision. J Urol 2003;169(1):261–4. DOI: 10.1097/01.ju.0000040661.45037.47.Carr L.K., Robert M., Kultgen P.L. et al. Autologous muscle derived cell therapy for stress urinary incontinence: a prospective, dose ranging study. J Urol 2013;189(2):595–601. DOI: 10.1016/j.juro.2012.09.028.Carr L.K., Robert M., Kultgen P.L. et al. Autologous muscle derived cell therapy for stress urinary incontinence: a prospective, dose ranging study. J Urol 2013;189(2):595–601. DOI: 10.1016/j.juro.2012.09.028.Yafi F.A., Powers M.K., Zurawin J., Hellstrom W.J.G. Contemporary review of artificial urinary sphincters for male stress urinary incontinence. Sex Med Rev 2016;4(2):157–66. DOI: 10.1016/j.sxmr.2015.11.004.Yafi F.A., Powers M.K., Zurawin J., Hellstrom W.J.G. Contemporary review of artificial urinary sphincters for male stress urinary incontinence. Sex Med Rev 2016;4(2):157–66. DOI: 10.1016/j.sxmr.2015.11.004.Linder B.J., Rivera M.E., Ziegelmann M.J., Elliot D.S. Long-term outcomes following artificial urinary sphincter placement: An analysis of 1082 cases at Mayo Clinic. Urology 2015;86(3):602–7. DOI: 10.1016/j.urology.2015.05.029.Linder B.J., Rivera M.E., Ziegelmann M.J., Elliot D.S. Long-term outcomes following artificial urinary sphincter placement: An analysis of 1082 cases at Mayo Clinic. Urology 2015;86(3):602–7. DOI: 10.1016/j.urology.2015.05.029.Tutolo М., Cornu J.-N., Bauer R.М. et al. Efficacy and safety of artificial urinary sphincter (AUS): Results of a large multi-institutional cohort of patients with mid-term follow-up. Neurourol Urodyn 2019;38(2):710–8. DOI: 10.1002/nau.23901.Tutolo М., Cornu J.-N., Bauer R.М. et al. Efficacy and safety of artificial urinary sphincter (AUS): Results of a large multi-institutional cohort of patients with mid-term follow-up. Neurourol Urodyn 2019;38(2):710–8. DOI: 10.1002/nau.23901.Crivellaro S., Morlacco A., Bodo G. et al. Systematic review of surgical treatment of post radical prostatectomy stress urinary incontinence. Neurourol Urodyn 2016;35(8):875–81. DOI: 10.1002/nau.22873.Crivellaro S., Morlacco A., Bodo G. et al. Systematic review of surgical treatment of post radical prostatectomy stress urinary incontinence. Neurourol Urodyn 2016;35(8):875–81. DOI: 10.1002/nau.22873.Ostrowski I., Golabek T., Ciechan J. et al. Preliminary outcomes of the European multicentre experience with the ZSI 375 artificial urinary sphincter for treatment of stress urinary incontinence in men. Cent European J Urol 2019;72(3):263–9. DOI: 10.5173/ceju.2019.1920.Ostrowski I., Golabek T., Ciechan J. et al. Preliminary outcomes of the European multicentre experience with the ZSI 375 artificial urinary sphincter for treatment of stress urinary incontinence in men. Cent European J Urol 2019;72(3):263–9. DOI: 10.5173/ceju.2019.1920.Giammò A., Falcone M., Blecher G. et al. A novel artificial urinary sphincter (VICTO®) for the management of postprostatectomy urinary incontinence: Description of the surgical technique and preliminary results from a multicenter series. Urol Int 2021;105(5–6):414–20. DOI: 10.1159/000512722.Giammò A., Falcone M., Blecher G. et al. A novel artificial urinary sphincter (VICTO®) for the management of postprostatectomy urinary incontinence: Description of the surgical technique and preliminary results from a multicenter series. Urol Int 2021;105(5–6):414–20. DOI: 10.1159/000512722.Ficarra V., Novara G., Rosen R.C. et al. Systematic review and meta-analysis of studies reporting urinary continence recovery after robot-assisted radical prostatectomy. Eur Urol 2012;62(3):405–17. DOI: 10.1016/j.eururo.2012.05.045.Ficarra V., Novara G., Rosen R.C. et al. Systematic review and meta-analysis of studies reporting urinary continence recovery after robot-assisted radical prostatectomy. Eur Urol 2012;62(3):405–17. DOI: 10.1016/j.eururo.2012.05.045.Ficarra V., Novara G., Ahlering T.E. et al. Systematic review and meta-analysis of studies reporting potency rates after robot-assisted radical prostatectomy. Eur Urol 2012;62(3):418–30. DOI: 10.1016/j.eururo.2012.05.046.Ficarra V., Novara G., Ahlering T.E. et al. Systematic review and meta-analysis of studies reporting potency rates after robot-assisted radical prostatectomy. Eur Urol 2012;62(3):418–30. DOI: 10.1016/j.eururo.2012.05.046.Patel N., Golan R., Halpern J.A. et al. A contemporary analysis of dual inflatable penile prosthesis and artificial urinary sphincter outcomes. J Urol 2019;201(1):141–6. DOI: 10.1016/j.juro.2018.07.046.Patel N., Golan R., Halpern J.A. et al. A contemporary analysis of dual inflatable penile prosthesis and artificial urinary sphincter outcomes. J Urol 2019;201(1):141–6. DOI: 10.1016/j.juro.2018.07.046.Boysen W.R., Cohen A.J., Kuchta K. et al. Combined placement of artificial urinary sphincter and inflatable penile prosthesis does not increase risk of perioperative complications or impact long-term device survival. Urology 2019;124:264–70. DOI: 10.1016/j.urology.2018.10.033.Boysen W.R., Cohen A.J., Kuchta K. et al. Combined placement of artificial urinary sphincter and inflatable penile prosthesis does not increase risk of perioperative complications or impact long-term device survival. Urology 2019;124:264–70. DOI: 10.1016/j.urology.2018.10.033.Segal R.L., Cabrini M.R., Harris E.D. et al. Combined inflatable penile prosthesis-artificial urinary sphincter implantation: no increased risk of adverse events compared to single or staged device implantation. J Urol 2013;190(6):2183–8. DOI: 10.1016/j.juro.2013.06.084.Segal R.L., Cabrini M.R., Harris E.D. et al. Combined inflatable penile prosthesis-artificial urinary sphincter implantation: no increased risk of adverse events compared to single or staged device implantation. J Urol 2013;190(6):2183–8. DOI: 10.1016/j.juro.2013.06.084.Javaroni V. Editorial comment: a contemporary analysis of dual inflatable penile prosthesis and artificial urinary sphincter outcomes. Int Braz J Urol 2020;46(6):1096–7. DOI: 10.1590/ S1677-5538.IBJU.2020.06.07.Javaroni V. Editorial comment: a contemporary analysis of dual inflatable penile prosthesis and artificial urinary sphincter outcomes. Int Braz J Urol 2020;46(6):1096–7. DOI: 10.1590/ S1677-5538.IBJU.2020.06.07.Perrouin-Verbe M.A., Chartier-Kastler E., Even A. et al. Long-term complications of continent cutaneous urinary diversion in adult spinal cord injured patients. Neurourol Urodyn 2016;35(8):1046–50. DOI: 10.1002/nau.22879.Perrouin-Verbe M.A., Chartier-Kastler E., Even A. et al. Long-term complications of continent cutaneous urinary diversion in adult spinal cord injured patients. Neurourol Urodyn 2016;35(8):1046–50. DOI: 10.1002/nau.22879.Sundaram V., Cordon B.H., Hofer M.D., Morey A.F. Is risk of artificial urethral sphincter cuff erosion higher in patients with penile prosthesis? J Sex Med 2016;13(9):1432–7. DOI: 10.1016/j.jsxm.2016.06.013.Sundaram V., Cordon B.H., Hofer M.D., Morey A.F. Is risk of artificial urethral sphincter cuff erosion higher in patients with penile prosthesis? J Sex Med 2016;13(9):1432–7. DOI: 10.1016/j.jsxm.2016.06.013.Guachetá Bomba P.L., Ocampo Flórez G.M., Echeverría García F., García-Perdomo H.A. Effectiveness of surgical management with an adjustable sling versus an artificial urinary sphincter in patients with severe urinary postprostatectomy incontinence: a systematic review and network meta-analysis. Ther Adv Urol 2019;11:1756287219875581. DOI: 10.1177/1756287219875581.Guachetá Bomba P.L., Ocampo Flórez G.M., Echeverría García F., García-Perdomo H.A. Effectiveness of surgical management with an adjustable sling versus an artificial urinary sphincter in patients with severe urinary postprostatectomy incontinence: a systematic review and network meta-analysis. Ther Adv Urol 2019;11:1756287219875581. DOI: 10.1177/1756287219875581.Chen Y.-C., Lin P.-H., Jou Y.-Y., Lin V.C.-H. Surgical treatment for urinary incontinence after prostatectomy: a meta-analysis and systematic review. PLoS One 2017;12(5):e0130867. DOI: 10.1371/journal.pone.0130867.Chen Y.-C., Lin P.-H., Jou Y.-Y., Lin V.C.-H. Surgical treatment for urinary incontinence after prostatectomy: a meta-analysis and systematic review. PLoS One 2017;12(5):e0130867. DOI: 10.1371/journal.pone.0130867.Grabbert M., Husch T., Kretschmer A. et al. Comparison of adjustable male slings and artificial urinary sphincter in the treatment of male urinary incontinence: a retrospective analysis of patient selection and postoperative continence status. World J Urol 2019;37(7):1415–20. DOI: 10.1007/s00345-018-2523-0.Grabbert M., Husch T., Kretschmer A. et al. Comparison of adjustable male slings and artificial urinary sphincter in the treatment of male urinary incontinence: a retrospective analysis of patient selection and postoperative continence status. World J Urol 2019;37(7):1415–20. DOI: 10.1007/s00345-018-2523-0.Magera J.S. Jr., Elliott D.S. Artificial urinary sphincter infection: causative organisms in a contemporary series J Urol 2008;180(6):2475–8. DOI: 10.1016/j.juro.2008.08.021.Magera J.S. Jr., Elliott D.S. Artificial urinary sphincter infection: causative organisms in a contemporary series J Urol 2008;180(6):2475–8. DOI: 10.1016/j.juro.2008.08.021.de Cógáin M.R., Elliott D.S. The impact of an antibiotic coating on the artificial urinary sphincter infection rate. J Urol 2013;190(1):113–7. DOI: 10.1016/j.juro.2013.01.015.de Cógáin M.R., Elliott D.S. The impact of an antibiotic coating on the artificial urinary sphincter infection rate. J Urol 2013;190(1):113–7. DOI: 10.1016/j.juro.2013.01.015.Husch T., Kretschmer A., Thomsen F. et al. Debates on Male Incontinence (DOMINO)-Project. Antibiotic coating of the artificial urinary sphincter (AMS 800): Is it worthwhile? Urology 2017;103:179–84. DOI: 10.1016/j.urology.2016.12.056.Husch T., Kretschmer A., Thomsen F. et al. Debates on Male Incontinence (DOMINO)-Project. Antibiotic coating of the artificial urinary sphincter (AMS 800): Is it worthwhile? Urology 2017;103:179–84. DOI: 10.1016/j.urology.2016.12.056.Bates A.S., Martin R.M., Terry T.R. Complications following artificial urinary sphincter placement after radical prostatectomy and radiotherapy: a meta-analysis. BJU Int 2015;116(4):623–33. DOI: 10.1111/bju.13048.Bates A.S., Martin R.M., Terry T.R. Complications following artificial urinary sphincter placement after radical prostatectomy and radiotherapy: a meta-analysis. BJU Int 2015;116(4):623–33. DOI: 10.1111/bju.13048.Andreasson A., Fall M., Persson E. et al. High revision rate following artificial urethral sphincter implantation. Scand J Urol 2014;48(6):544–8. DOI: 10.3109/21681805.2014.925498.Andreasson A., Fall M., Persson E. et al. High revision rate following artificial urethral sphincter implantation. Scand J Urol 2014;48(6):544–8. DOI: 10.3109/21681805.2014.925498.

The authors declare that there are no conflicts of interest present.