What is your management plan and timeline for a man with history of prostate radiation and incontinence s/p AUS, now with urethral erosion who would like to have it replaced as soon as possible?

In a patient with prior pelvic radiation who develops urethral erosion of an artificial urinary sphincter (AUS), I would strongly recommend a staged approach, not attempting immediate replacement. Although these patients are understandably anxious to regain continence, the priority must be complete ...

In a patient with prior pelvic radiation who develops AUS cuff erosion, I generally recommend waiting at least 3–6 months before considering reimplantation, and often closer to 6 months in a radiated patient. Although patients understandably want their continence restored as quickly as possible, I e...