{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T12:14:54Z","timestamp":1790252094538,"version":"4.1.0"},"reference-count":27,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,9,21]],"date-time":"2016-09-21T00:00:00Z","timestamp":1474416000000},"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>Aims<\/jats:title><jats:p>Artificial urinary sphincter (AUS) AMS\u2010800\u00ae is an effective treatment for male stress urinary incontinence. The aim of the study was to assess the long\u2010term effectiveness and complications of artificial urinary sphincter placement preserving the bulbospongiosus muscle.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From April 2004 to March 2014, all consecutive male patients with urinary incontinence who underwent an AUS prosthesis insertion were prospectively evaluated. Surgical technique consisted of a perineal incision for cuff placement around the bulbous urethra preserving the bulbospongiosus muscle. Cure rate was defined as no pad use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 82 consecutive patients (median age 68 years, range: 54\u201078) were prospectively evaluated (median follow\u2010up 46 months, range: 12\u2010135). Bulbospongiosus muscles were preserved intact in all cases with no intraoperative complications. Postoperative complications were reported in 14 patients (1 urethral erosion). The overall cure rate (dry rate) was 76.8% and the median ICIQ\u2010UI score improved from 18 (range: 8\u201021) to 4 (range: 0\u201017) (<jats:italic>P\u2009<\/jats:italic>&lt;\u20090.001). Artificial urinary sphincter survival rate was 95.5% (95%CI 89.4\u2010100%) at 24 months and 62.6% (95%CI 45.5\u201079.6%) at 60 months. The mechanical failure rate was 6.3% (median 46.1 months, range: 22.2\u2010100.9) and urethral atrophy and\/or inadequate compression rate was 9.5% (median 58.6 months, range: 39\u2010101.4 months).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our study suggests that placement of AUS preserving the bulbospongiosus muscle is technically easy and efficient, reports excellent continence rates and lower urethral erosion rates, and could delay the onset of urethral atrophy compared to other surgical procedures used for sphincter placement.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.23119","type":"journal-article","created":{"date-parts":[[2016,9,21]],"date-time":"2016-09-21T15:52:43Z","timestamp":1474473163000},"page":"1387-1394","source":"Crossref","is-referenced-by-count":20,"title":["Prospective follow\u2010up study of artificial urinary sphincter placement preserving the bulbospongiosus muscle"],"prefix":"10.1002","volume":"36","author":[{"given":"Argimiro","family":"Collado Serra","sequence":"first","affiliation":[{"name":"Department of Urology Instituto Valenciano de Oncolog\u00eda Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9","family":"Dom\u00ednguez\u2010Escrig","sequence":"additional","affiliation":[{"name":"Department of Urology Instituto Valenciano de Oncolog\u00eda Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1lvaro","family":"G\u00f3mez\u2010Ferrer","sequence":"additional","affiliation":[{"name":"Department of Urology Instituto Valenciano de Oncolog\u00eda Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilio","family":"Batista Miranda","sequence":"additional","affiliation":[{"name":"Department of Urology Clinica Teknon Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9","family":"Rubio\u2010Briones","sequence":"additional","affiliation":[{"name":"Department of Urology Instituto Valenciano de Oncolog\u00eda Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo","family":"Solsona Narb\u00f3n","sequence":"additional","affiliation":[{"name":"Department of Urology Instituto Valenciano de Oncolog\u00eda Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,9,21]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2012.11.034"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2006.10.062"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2008.07872.x"},{"key":"e_1_2_8_5_1","volume-title":"Pelvic Dysfunction in Men: Diagnosis and Treatment of Male Incontinence and Erectile 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