The Patient Beyond the Sphincter–Cognitive and Functional Considerations Affecting the Natural History of Artificial Urinary Sphincters

A. Lavi; T. B. Boone; M. Cohen; M. Gross

doi:10.1016/j.urology.2019.11.031

The Patient Beyond the Sphincter–Cognitive and Functional Considerations Affecting the Natural History of Artificial Urinary Sphincters

A. Lavi, T. B. Boone, M. Cohen, M. Gross

Research output: Contribution to journal › Review article › peer-review

17 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	14-18
Number of pages	5
Journal	Urology
Volume	137
DOIs	https://doi.org/10.1016/j.urology.2019.11.031
State	Published - Mar 2020

ASJC Scopus subject areas

Urology

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10.1016/j.urology.2019.11.031

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title = "The Patient Beyond the Sphincter–Cognitive and Functional Considerations Affecting the Natural History of Artificial Urinary Sphincters",

abstract = "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.",

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AU - Cohen, M.

AU - Gross, M.

PY - 2020/3

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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.

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The Patient Beyond the Sphincter–Cognitive and Functional Considerations Affecting the Natural History of Artificial Urinary Sphincters

Abstract

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