{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T19:10:32Z","timestamp":1785179432713,"version":"3.55.0"},"reference-count":19,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,2,14]],"date-time":"2014-02-14T00:00:00Z","timestamp":1392336000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2014,4]]},"abstract":"\n Objectives<\/jats:title>\n \n \n \n \n To present the outcomes of men undergoing artificial urinary sphincter (\n AUS<\/jats:styled-content>\n ) implantation.\n <\/jats:p>\n <\/jats:list-item>\n \n To determine the impact a history of radiation therapy has on the outcomes of prosthetic surgery for stress urinary incontinence.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n Patients and Methods<\/jats:title>\n \n \n \n \n A cohort of 77 consecutive men undergoing\n AUS<\/jats:styled-content>\n implantation for stress urinary incontinence after prostate cancer surgery, including 29 who had also been irradiated, were included in a prospective database and followed up for a mean period of 21.2 months.\n <\/jats:p>\n <\/jats:list-item>\n \n Continence rates and incidence of complications, revision and cuff erosion were evaluated, with results in irradiated men compared with those of men who had undergone radical prostatectomy alone.<\/jats:p>\n <\/jats:list-item>\n \n The effect of co\u2010existing hypertension, diabetes mellitus and surgical approach on outcomes were also examined.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n \n \n Overall, the rate of social continence (0\u20131 pad\/day) was 87% and similar in irradiated and non\u2010irradiated men (86.2 vs 87.5%). Likewise, the incidence of infection (3.4 vs 0%), erosion (3.4 vs 2.0%) and revision surgery (10.3 vs 12.5%) were not significantly different between the groups.<\/jats:p>\n <\/jats:list-item>\n \n \n There was a far greater incidence of co\u2010existing urethral stricture disease in irradiated patients (62.1 vs 10.4%) which often complicated management; however,\n AUS<\/jats:styled-content>\n implantation was still feasible in these men and, in four such cases, a transcorporal cuff placement was used.\n <\/jats:p>\n <\/jats:list-item>\n \n There were poorer outcomes in patients with diabetes, and a greater re\u2010operation rate in those men who underwent a transverse scrotal rather than perineal surgical approach, although the differences did not reach statistical significance.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n \n \n Previous irradiation in patients may increase the complexity of treatment because of a greater incidence of co\u2010existing urethral stricture disease; however, these patients are still able to achieve a level of social continence similar to that of non\u2010irradiated patients, with no discernable increase in complication rates, cuff erosion or the need for revision surgery.<\/jats:p>\n <\/jats:list-item>\n \n \n AUS<\/jats:styled-content>\n implantation remains the \u2018gold standard\u2019 for management of moderate\u2010to\u2010severe stress urinary incontinence in both irradiated and non\u2010irradiated patients after prostate cancer treatment.\n <\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/bju.12518","type":"journal-article","created":{"date-parts":[[2013,10,16]],"date-time":"2013-10-16T10:16:39Z","timestamp":1381918599000},"page":"636-641","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":42,"title":["Outcomes of artificial urinary sphincter implantation in the irradiated patient"],"prefix":"10.1111","volume":"113","author":[{"given":"Niranjan J.","family":"Sathianathen","sequence":"first","affiliation":[{"name":"Faculty of Medicine Nursing and Health Sciences Monash University Melbourne Vic. Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean M.","family":"McGuigan","sequence":"additional","affiliation":[{"name":"Epworth HealthCare Melbourne Vic. Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel A.","family":"Moon","sequence":"additional","affiliation":[{"name":"Epworth HealthCare Melbourne Vic. Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,2,14]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1016\/S0022-5347(17)69552-1","article-title":"Artificial sphincter. new device and operation for control of enuresis and urinary incontinence","volume":"58","author":"Foley FEB","year":"1947","journal-title":"J Urol"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-197309000-00006"},{"key":"e_1_2_7_4_1","article-title":"Impact of adjuvant radiation therapy on urinary continence recovery after radical prostatectomy","author":"Suardi N","year":"2013","journal-title":"Eur Urol"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)61253-7"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410x.2000.00484.x"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)69091-8"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2006.10.062"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)39126-7"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)36850-7"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-4096.2001.01759.x"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)64082-7"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2009.07.068"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2012.11.034"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)67547-5"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)38739-6"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2008.11.032"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2008.18.9563"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)65088-4"}],"container-title":["BJU International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fbju.12518","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bju.12518","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T14:23:20Z","timestamp":1761747800000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/10.1111\/bju.12518"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,2,14]]},"references-count":19,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2014,4]]}},"alternative-id":["10.1111\/bju.12518"],"URL":"https:\/\/doi.org\/10.1111\/bju.12518","archive":["Portico"],"relation":{},"ISSN":["1464-4096","1464-410X"],"issn-type":[{"value":"1464-4096","type":"print"},{"value":"1464-410X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,2,14]]},"assertion":[{"value":"2014-02-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}