How do you manage a patient with improved but persistent 3 pad per day urinary leakage after AUS placement with an intact device?

In a patient with persistent urinary incontinence of approximately three pads per day following artificial urinary sphincter (AUS) implantation, my first step is to establish whether this represents persistent stress urinary incontinence or an underlying bladder storage problem. Although improvement...

My approach to persistent urinary leakage following AUS placement is to first determine whether the patient has ongoing stress incontinence, urgency incontinence, or a combination of the two.

I typically begin by confirming that the patient is using the device correctly and providing additional educ...

I think to best answer this question, the timing of recurrence of pad use is important. If shortly after placement, I would first really evaluate if the leakage is stress and not urge or overflow. I find that the patient often has a hard time differentiating post-AUS. If truly SUI, I would consider ...