{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T02:42:57Z","timestamp":1772505777003,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,8,31]],"date-time":"2016-08-31T00:00:00Z","timestamp":1472601600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Over the past few years, we have been doing an increasing number of revisions for artificial urinary sphincters (AUS) at our center. The study aims to investigate reason for this change in our practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Demographics and surgical outcomes of patients who received AUS in 2003\u20132014 at our center were retrospectively evaluated, and patients were contacted to check the current status of their AUS. The outcomes of the study were: percentage of revisions and explanation, survival, and the risk factors associated with these events.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 102 patients (72 years (30\u201387)) underwent 214 procedures: 99 primary implants, 11 secondary implants, 84 revisions, and 20 explantations\u2014median follow\u2010up was 54 months (5\u2013146). The 5\u2010years and 10\u2010years revision\u2010free survival for AUS were 47% and 23%, respectively. The 5 and 10 years explantation\u2010free survival were 77% and 72%, respectively. The median time to revision for AUS implanted in 2010\u20132014 was shorter than in AUS implanted in 2003\u20132009 (6 vs. 13.5 months, <jats:italic>P<\/jats:italic>\u2009=\u20090.08). The percentage of AUS that were preceded by urethral surgery for incontinence was significantly higher in AUS implanted in 2010\u20132014 than in those implanted in 2003\u20132009 (19% vs. 63%, <jats:italic>P<\/jats:italic>\u2009=\u20090.001). The percentage of patients with AUS who received radiotherapy in the past 5 years was higher than in 2003\u20132009 (53% vs. 30%, <jats:italic>P<\/jats:italic>\u2009=\u20090.09).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In modern urological practice, more exposure to RT and previous surgeries for incontinence are associated with increased risk for revision with decline in AUS survival.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.23110","type":"journal-article","created":{"date-parts":[[2016,8,31]],"date-time":"2016-08-31T18:26:41Z","timestamp":1472668001000},"page":"1350-1355","source":"Crossref","is-referenced-by-count":6,"title":["Decline in artificial urinary sphincter survival in modern practice\u2014do we treat a different patient?"],"prefix":"10.1002","volume":"36","author":[{"given":"Fawzy","family":"Farag","sequence":"first","affiliation":[{"name":"Department of Urology Radboud University Medical Center Nijmegen The Netherlands"},{"name":"Department of Urology Sohag University Hospital Sohag Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maarten","family":"van der Doelen","sequence":"additional","affiliation":[{"name":"Department of Urology Radboud University Medical Center Nijmegen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jetske","family":"van Breda","sequence":"additional","affiliation":[{"name":"Department of Urology Radboud University Medical Center Nijmegen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathleen","family":"D'Hauwers","sequence":"additional","affiliation":[{"name":"Department of Urology Radboud University Medical Center Nijmegen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Heesakkers","sequence":"additional","affiliation":[{"name":"Department of Urology Radboud University Medical Center Nijmegen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,8,31]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(02)80357-3"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2012.11.034"},{"key":"e_1_2_7_4_1","article-title":"Surgical treatment of neurogenic stress urinary incontinence: a systematic review of quality assessment and surgical outcomes","author":"Farag F","year":"2014","journal-title":"Neurourol 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