{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T12:14:46Z","timestamp":1790252086280,"version":"4.1.0"},"reference-count":36,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,8,9]],"date-time":"2018-08-09T00:00:00Z","timestamp":1533772800000},"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>Objective<\/jats:title>\n                    <jats:p>\n                      To compare long\u2010term outcomes and erosion rates of 3.5\u2010cm artificial urinary sphincter (\n                      <jats:styled-content style=\"fixed-case\">AUS<\/jats:styled-content>\n                      ) cuffs vs larger cuffs amongst men with stress urinary incontinence (\n                      <jats:styled-content style=\"fixed-case\">SUI<\/jats:styled-content>\n                      ), with and without a history of pelvic radiotherapy (RT).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and methods<\/jats:title>\n                    <jats:p>\n                      We reviewed the records of all men who underwent\n                      <jats:styled-content style=\"fixed-case\">AUS<\/jats:styled-content>\n                      placement by a single surgeon between September 2009 and June 2017 at our tertiary urban medical centre. A uniform perineal approach was used to ensure cuff placement around the most proximal corpus spongiosum after precise spongiosal measurement. Patients were stratified by cuff size and RT status, and patient demographics and surgical outcomes were analysed. Cases of\n                      <jats:styled-content style=\"fixed-case\">AUS<\/jats:styled-content>\n                      revision in which a new cuff was not placed were excluded. Success was defined as patient\u2010reported pad use of \u22641 pad\/day.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Amongst 410 cases included in the analysis, the 3.5\u2010cm cuff was used in 166 (40.5%), whilst 244 (59.5%) received larger cuffs (\u22654.0 cm). Over a median follow\u2010up of 50 months, there was\n                      <jats:styled-content style=\"fixed-case\">AUS<\/jats:styled-content>\n                      cuff erosion in 44 patients at a rate nearly identical in the 3.5\u2010cm cuff (10.8%, 18\/166) and the \u22654\u2010cm cuff groups (10.7%, 26\/244,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.7). On multivariate logistic regression, clinical factors associated with\n                      <jats:styled-content style=\"fixed-case\">AUS<\/jats:styled-content>\n                      cuff erosion included a history of pelvic RT, prior\n                      <jats:styled-content style=\"fixed-case\">AUS<\/jats:styled-content>\n                      cuff erosion, prior urethroplasty, and a history of inflatable penile prosthesis (\n                      <jats:styled-content style=\"fixed-case\">IPP<\/jats:styled-content>\n                      ) placement. Patient demographics were similar between the cuff\u2010size groups; including age, body mass index, comorbidities, smoking history, RT history, prior\n                      <jats:styled-content style=\"fixed-case\">AUS<\/jats:styled-content>\n                      , and prior IPP placement. Continence rates were high amongst all\n                      <jats:styled-content style=\"fixed-case\">AUS<\/jats:styled-content>\n                      patients, with similar success in both groups (82% for 3.5\u2010cm cuff, 90% for \u22654\u2010cm cuff,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.1).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      After 8 years of experience and extended follow\u2010up, the outcomes of the 3.5\u2010cm\n                      <jats:styled-content style=\"fixed-case\">AUS<\/jats:styled-content>\n                      cuff appear to be similar to \u22654\u2010cm cuffs for effectiveness and rates of urethral erosion. RT patients have a higher risk of cuff erosion regardless of cuff size.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.14483","type":"journal-article","created":{"date-parts":[[2018,7,14]],"date-time":"2018-07-14T12:45:01Z","timestamp":1531572301000},"page":"335-341","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Erosion rates of 3.5\u2010cm artificial urinary sphincter cuffs are similar to larger cuffs"],"prefix":"10.1111","volume":"123","author":[{"given":"Maxim J.","family":"McKibben","sequence":"first","affiliation":[{"name":"Department of Urology University of Texas Southwestern Medical Center Dallas TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nabeel","family":"Shakir","sequence":"additional","affiliation":[{"name":"Department of Urology University of Texas Southwestern Medical Center Dallas TX 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