Jay Simhan, MD, FACS, presented “Artificial Urinary Sphincter Cuff Management: Essentials for the General Urologist” during the 44th Annual Ralph E. Hopkins Urology Seminar on February 8, 2025, in Jackson Hole, Wyoming.
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How to cite: Simhan, Jay. “Artificial Urinary Sphincter Cuff Management: Essentials for the General Urologist.” February 8, 2025. Accessed Apr 2025. https://grandroundsinurology.com/artificial-urinary-sphincter-cuff-management-essentials-for-the-general-urologist/
Artificial Urinary Sphincter Cuff Management: Essentials for the General Urologist – Summary
Jay Simhan, MD, FACS, explores the complexities of managing artificial urinary sphincters (AUS). In this 19-minute presentation, Dr. Simhan focuses on patients with prolonged catheterization, hematuria, and bladder tumors and shares cases and images to illustrate his viewpoints.
Dr. Simhan highlights the increasing need for AUS management due to prostate cancer treatment, radiation, and aging-related complications. He emphasizes the high-risk nature of erosion, and how improper cuff sizing contributes to poor outcomes. He also shares data from leading institutions illustrating that prolonged catheterization significantly increases AUS failure rates, making careful preoperative planning essential.
A detailed algorithm for managing AUS in patients requiring cystoscopic interventions distinguishes between flexible and rigid instrumentation, underscoring when unbuckling or removing the cuff is necessary. Insights from recent studies stress that lower-pressure regulating balloons reduce erosion risks, challenging past assumptions about smaller cuffs.
Dr. Simhan provides practical recommendations for optimizing AUS management and prioritizing patient outcomes while minimizing irreversible complications.
About The 44th Annual Ralph E. Hopkins Urology Seminar:
The Ralph E. Hopkins Urology Seminar is a multi-day meeting focused on training urologists in the latest in assessing, diagnosing, and treating urologic conditions in the clinical setting. Updates are provided on urologic cancers, stone disease, urologic reconstruction, female urology, infertility, sexual function, emerging surgical techniques, and general urology. The 44th iteration of the meeting took place from February 5th to February 8th, 2025, in Jackson Hole, Wyoming.
For further educational activities from this conference, visit our collection page.
ABOUT THE AUTHOR
Jay Simhan, MD, FACS, is a chair at Temple Department of Urology, Professor of Urology, Lewis Katz School of Medicine at Temple University, Fellowship Director, GURS Reconstruction and Prosthetics, and a Professor of Urology at Fox Chase Cancer Center in Philadelphia, Pennsylvania. Additionally, Dr. Simhan serves as the fellowship director of the reconstructive and prosthetic urology fellowship program. He is also a member of the executive management team at the Fox Chase - Temple Urologic Institute. Dr. Simhan earned his medical degree from the University of North Carolina, Chapel Hill. He completed general surgery and urology residencies at Temple University Hospital and Fox Chase Cancer Center, and he completed additional fellowship training in urologic trauma, reconstruction, and prosthetics at the University of Texas Southwestern in Dallas. Dr. Simhan has completed additional executive leadership training at the Wharton School at the University of Pennsylvania in Philadelphia.
Dr. Simhan is an active and contributing member of the American Urologic Association, American College of Surgeons, the Society of Genitourinary Reconstructive Surgeons, Société Internationale d’Urologie, Society of Urologic Prosthetic Surgeons, and the Sexual Medicine Society of North America. Dr. Simhan currently serves as fellowship committee chair and a member of the board of directors of the Society of Genitourinary Reconstructive Surgeons.
