TY - JOUR
T1 - The Patient Beyond the Sphincter–Cognitive and Functional Considerations Affecting the Natural History of Artificial Urinary Sphincters
AU - Lavi, A.
AU - Boone, T. B.
AU - Cohen, M.
AU - Gross, M.
N1 - Funding Information:
Financial Disclosures: None.
Publisher Copyright:
© 2019 Elsevier Inc.
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2020/3
Y1 - 2020/3
N2 - Artificial urinary sphincters (AUS) are common. Life expectancy at average implantation (71.5 years) is 14 years. During this period patients must still possess manual dexterity and cognitive capabilities needed to operate the AUS, otherwise it is practically unfunctional. Still, available data regarding AUS durability deal with medical and mechanical factors. Issues as age-related deteriorating manual dexterity and cognitive capabilities precluding patients from operating an apparently intact AUS have not been addressed. We set to focus on these aspects. We review the natural history of manual dexterity, physical, and cognitive deterioration of aging men and propose counseling and screening algorithms for evaluating these aspects.
AB - Artificial urinary sphincters (AUS) are common. Life expectancy at average implantation (71.5 years) is 14 years. During this period patients must still possess manual dexterity and cognitive capabilities needed to operate the AUS, otherwise it is practically unfunctional. Still, available data regarding AUS durability deal with medical and mechanical factors. Issues as age-related deteriorating manual dexterity and cognitive capabilities precluding patients from operating an apparently intact AUS have not been addressed. We set to focus on these aspects. We review the natural history of manual dexterity, physical, and cognitive deterioration of aging men and propose counseling and screening algorithms for evaluating these aspects.
UR - http://www.scopus.com/inward/record.url?scp=85077159945&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85077159945&partnerID=8YFLogxK
U2 - 10.1016/j.urology.2019.11.031
DO - 10.1016/j.urology.2019.11.031
M3 - Review article
C2 - 31794813
AN - SCOPUS:85077159945
VL - 137
SP - 14
EP - 18
JO - Urology
JF - Urology
SN - 0090-4295
ER -