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Permanent urethral ligation after AUS cuff erosion: Is it ready for prime time?

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Although artificial urinary sphincter (AUS) has long been the gold standard treatment for severe stress urinary incontinence, poor tissue quality in patients with prior cuff erosions may preclude this option.… Click to show full abstract

Although artificial urinary sphincter (AUS) has long been the gold standard treatment for severe stress urinary incontinence, poor tissue quality in patients with prior cuff erosions may preclude this option. Formal supravesical diversion and/or bladder neck closure comprise alternative salvage options but are associated with significant morbidity and mortality. We review our experience with permanent urethral ligation (PUL) among patients deemed not to be candidates for AUS replacement following cuff erosion.

Keywords: aus; permanent urethral; urethral ligation; cuff erosion

Journal Title: Neurourology and Urodynamics
Year Published: 2020

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