Success rate Numerous studies have been published regarding the outcomes of patients that have undergone<unk>  implantation. The success rate, generally defined as achieving total (no pad use) or social continence (use of ≤1 pad/day) with the implanted device, ranges from 61% to 100% in the literature. Improvement in quality of life has also been considered as success even if more than 1 pad/day was needed. The success rate was reported at 78% with a 3-year follow-up, and over 72% with 5 to 7 years of follow-up. In a recent systematic review, the success rate was reported to be 79% with follow-up period ranging from 5 months to 16 years. A comparative study among patients implanted with different models of<unk>  and achieved social continence showed no difference between two groups in regards of urodynamic tests, such as flow rate, urethral pressure, etc. Satisfaction In different studies with a mean follow-up of more than 6 years, at least 73% of men with an implanted<unk>  were satisfied or very satisfied with the device, and 10-23% reported dissatisfaction. At shorter periods of follow-up (2–4 years) the satisfaction rates achieved over 90%. In another study with mean follow-up of over 7 years, the overall satisfaction rate measured 3.9 on a scale from 0 to 5. The satisfaction rate in patients after radiotherapy does not seem to be unfavorably affected. The initial satisfaction with the continence rate is reported to be improved by adjusting the pressure inside the implant with the ZSI 375 model. Surveys of patients that underwent the procedure have found that over 90% would recommend the procedure to a friend or relative with the same problem, and over 90% would undergo the implantation again. Along with this, 14% of patients reported improvement in sexual activity. The quality of life after<unk>  implantation has been shown to be significantly improved in numerous studies using various scaling tools. And the quality of life appears not to be adversely affected by reinterventions, providing that the device continues to function after the revision. Reoperation In the largest available series evaluating 1082 patients that underwent primary<unk>  placement, the 5-year device survival rate was 74% which is consistent with the reported outcomes in the literature, ranging from 59% to 79%. Notably, in all series, over time some patients needed to undergo a repeat surgery for recurrent urinary incontinence or infection of the device. In a pooled analysis of the available studies the reintervention rate (for any cause) was roughly 26%. Significantly, some studies have demonstrated that surgeons who perform this procedure more frequently (high-volume surgeons) have improved outcomes compared to those who do them less frequently. In fact, in this series the reoperative rates decreased by approximately 50% as surgeons reached their 200th case emphasizing the need for potential patients to seek high volume surgeons to improve their chance of success.
Artificial urinary sphincter
Artificial urinary bladder
Incontinence pad
Urinary diversion
Bladder training
Bladder augmentation
Perineal dilator
Foley catheter