{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:10:31Z","timestamp":1787771431186,"version":"build-2784847793"},"reference-count":33,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T00:00:00Z","timestamp":1770681600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T00:00:00Z","timestamp":1770681600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum Hamburg-Eppendorf (UKE)"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World J Urol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To systematically assess perioperative complications after artificial urinary sphincter (AUS) implantation using the European Association of Urology (EAU) complication reporting guidelines and evaluate long-term device outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively analyzed male patients undergoing AUS implantation between 2015 and 2020. Demographic, clinical, and surgical characteristics were described. Early complications within 6\u00a0weeks were captured using a procedure-specific complication catalog and graded according to the Clavien\u2013Dindo Classification (CDC), in line with EAU standardized reporting recommendations. Primary endpoints were overall and major complications (CDC grade \u2265\u2009III); secondary endpoint was explantation-free survival.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of consecutive 227 AUS implantations (median age 73\u00a0years, IQR 67\u201376) were included. Severe stress urinary incontinence was predominantly post-radical prostatectomy (81%). Cuff types included distal double cuff (58%), bulbar single cuff (26%), and transcorporal cuff (16%). Complications occurred in 47% of cases, most frequently bleeding events (61%), followed by genitourinary (12%) and infectious events (11%). Major complications requiring a reintervention occurred in 7.9% of cases. Median follow-up was 52\u00a0months (IQR 32\u201366), with 5-year explantation-free survival of 73%. Explantation was required in 23% of cases, primarily due to urethral erosion and infection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>AUS implantation is associated with frequent early complications, though most are minor. Applying a predefined, procedure-specific complication catalog according to EAU guidelines ensures systematic, comprehensive, and transparent reporting. This approach highlights clinically relevant events, supports cross-study comparability, and informs individualized patient counseling and perioperative management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00345-026-06246-y","type":"journal-article","created":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T13:43:32Z","timestamp":1770731012000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Standardized reporting of perioperative complications after male artificial urinary sphincter implantation"],"prefix":"10.1007","volume":"44","author":[{"given":"Navid","family":"Roessler","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malte W.","family":"Vetterlein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim H. 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