{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T14:02:00Z","timestamp":1777471320805,"version":"3.51.4"},"reference-count":24,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,8,5]],"date-time":"2018-08-05T00:00:00Z","timestamp":1533427200000},"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":[[2019,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To present a modified technique in artificial urinary sphincter (AUS) placement that is associated with low rates of erosion and infection in a high\u2010risk population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>After Institutional Review Board approval, we identified patients who underwent primary AUS placement using the modified technique between January 2007 and November 2015. Our modification consists of preserving the dorsolateral fibromuscular tissue surrounding the bulbar urethra and horizontally transecting the ventral bulbospongiosus muscle during urethral cuff placement. Preoperative variables such as radiotherapy (RT) and bladder neck contractures were recorded. Effectiveness and complications including infections, erosions, and re\u2010operations were recorded at follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The new technique was used on 208 patients: 40% had a history of RT, including 15% who had had a salvage radical prostatectomy; 26% had had previous bladder neck contractures. No patients developed infection. Overall, erosion occurred in six (2.9%) patients and spontaneous erosions occurred in two (0.9%) during the study period. In all, 21 patients underwent re\u2010operation for device failure. The probability of re\u2010operation for \u2018any\u2019 reason was 7% (95% confidence interval [CI] 4\u201312%) at 1 year. The 1\u2010year social continence rate was 74% (95% CI 67\u201381%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Preservation of dorsolateral fibromuscular tissue during AUS placement is an effective means to achieve a low risk of erosions. Our modified technique is safe with low infection and erosion rates, whilst maintaining good functional outcomes despite a high\u2010risk population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.14476","type":"journal-article","created":{"date-parts":[[2018,7,3]],"date-time":"2018-07-03T12:27:25Z","timestamp":1530620845000},"page":"328-334","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Dorsolateral fibromuscular tissue preservation during artificial urinary sphincter cuff placement is associated with low infection and erosion rates"],"prefix":"10.1111","volume":"123","author":[{"given":"Felix","family":"Cheung","sequence":"first","affiliation":[{"name":"Memorial Sloan Kettering Cancer Center New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Fathollahi","sequence":"additional","affiliation":[{"name":"New York Medical College New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6948-9850","authenticated-orcid":false,"given":"Emily","family":"Vertosick","sequence":"additional","affiliation":[{"name":"Memorial Sloan Kettering Cancer Center New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas R.","family":"Jarvis","sequence":"additional","affiliation":[{"name":"Prince of Wales Clinical School Randwick NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darren","family":"Katz","sequence":"additional","affiliation":[{"name":"Men's Health Melbourne New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaspreet S.","family":"Sandhu","sequence":"additional","affiliation":[{"name":"Memorial Sloan Kettering Cancer Center New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,8,5]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)35793-2"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2011.06.062"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ucl.2010.12.011"},{"key":"e_1_2_9_5_1","unstructured":"MilsomI AltmanD LapitanMCet al.Epidemiology of urinary (UI) and faecal (FI) and pelvic organ prolapsed (POP).In:AbramsP CardozoL KhouryS WeinAeds Incontinence: 5th International Consultation on Incontinence 2012.Bristol UK:ICUD Publications 2013:35\u2013113. 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