AI Article Synopsis

  • Artificial urinary sphincter (AUS) erosion typically affects the urethral cuff and is usually treated by removing the device.
  • This report presents a case of abdominal wall erosion of AUS tubing, which has not been documented before, and discusses its management.
  • An 81-year-old man experienced tube erosion at an inguinal incision site without infection signs, and it was successfully treated with irrigation and closure without device removal, leading to no complications two months later.

Article Abstract

Artificial urinary sphincter (AUS) erosion often involve the urethral cuff and is managed by complete or partial device removal. Abdominal wall erosion of AUS tubing has not been previously reported and its management is unknown. We report tube erosion (TE) of AUS successfully managed without device explant. An 81-year-old male with AUS for post-prostatectomy incontinence presented with TE at the site of inguinal incision without signs or symptoms of infection. The exposed tube was reduced and wound was closed after copious antibiotic solution irrigation. No complications were noted at 2 month follow up. AUS-TE can be successfully managed conservatively with antiseptic wound site irrigation and reinsertion in absence of infection.

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