The Artificial Urinary Sphincter in Complex Situations

Posted by Margit Fisch, MD, FEAPU, FEBU | Jul 2024

Margit M. Fisch, MD, FEAPU, FEBU, presented “The Artificial Urinary Sphincter in Complex Situations” during the 43rd Annual Ralph E. Hopkins Urology Seminar on January 31, 2024, in Jackson Hole, Wyoming.

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How to cite: Fisch, Margit M. “The Artificial Urinary Sphincter in Complex Situations.” January 31, 2024. Accessed Dec 2024. https://grandroundsinurology.com/the-artificial-urinary-sphincter-in-complex-situations/

The Artificial Urinary Sphincter in Complex Situations – Summary

Margit M. Fisch, MD, FEAPU, FEBU, discusses the use of artificial urinary sphincters for the management of complex male Stress Urinary Incontinence (SUI) cases. She begins with a review of the body of data supporting the success rates of artificial urinary sphincters in straightforward cases.

Dr. Fisch then addresses the complications and their impact on the success of artificial urinary sphincter implantation, including:

Comorbidities
Post-Irradiation Status
Post-Urethroplasty Status
Reimplantation
Use of Transcorporal Cuff

For each of these complications, Dr. Fisch demonstrates strategies and best practices for minimizing their impact on surgical and patient outcomes.

About The 43rd 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 43rd iteration of the meeting took place from January 31st to February 2nd, 2024, in Jackson Hole, Wyoming.

For further educational activities from this conference, visit our collection page.

About The Author

Margit Fisch, MD, FEAPU, FEBU

Margit Fisch, MD, FEAPU, FEBU, is Director of the Department of Urology and Pediatric Urology of the University Medical Center Hamburg-Eppendorf. Her major professional interest is reconstructive urology, especially urethral reconstruction and urinary diversion. In cooperation with the Center of Urology and Nephrology in Mansoura, Egypt, she contributed major advances to ureteral implantation and urinary diversion using the anal sphincter, including developing and publishing the “sigma-rectum pouch” technique. In cooperation with the University College in Dublin, Ireland, and Prof. John Fitzpatrick, she created the “transverse colonic pouch” technique, among others. Dr. Fisch trained with Professor Rudolf Hohenfellner and Joachim W. Thüroff in Mainz, Germany. In 2000 she moved to Hamburg to become Head of the Section of Pediatric Urology at the Asklepios Clinic and became Director of the Department of Urology and Pediatric Urology in 2002. She has held her University of Hamburg position since December 2008. Dr. Fisch is Fellow of the European Board of Urology (FEBU) and the European Academy of Paediatric Urology (FEAPU). She is an elected International Member of the American Association of Genitourinary Surgeons (AAGUS) and the Society of Pelvic Surgeons (SPS). She is a member of the Association of Academic European Urologists (AAEU). She has served as President of the Society of Genito-Urinary Surgeons (GURS) and the European Society of Genito-Urinary Surgeons (ESGURS) and was the first female President of the German Association of Urology (2021 – 2022). Memberships include the European Association of Paediatric Urology (ESPU), Society of Pediatric Urologic Surgeons (SPUS), the European Association of Urology (EAU), the American Association of Urology (AUA), the German Association of Urology (DGU) and the German-Japanese Confederation of Urology. Dr. Fisch has published over 300 papers and book chapters, with over 90 as first author, and she organizes the International Meeting on Reconstructive Urology (IMORU). Dr. Fisch trained with Professor Rudolf Hohenfellner and Joachim W. Thüroff in Mainz, Germany, and became a staff member at Mainz Medical School in 1992. She served as Vice-Chair of the Department of Urology before moving to Hamburg to become Head of the Section of Pediatric Urology at the Asklepios Clinic in 2000. In 2002, she became Director of the Department of Urology and Pediatric Urology. She has held her University of Hamburg position since December 2008. Dr. Fisch is Fellow of the European Board of Urology (FEBU) and the European Academy of Paediatric Urology (FEAPU). Additionally, she is Adjunct Scientific Chair and Board Member of the Société Internationale d’Urologie (SIU), and an elected International Member of both the American Association of Genitourinary Surgeons (AAGUS) and the Society of Pelvic Surgeons (SPS). She has served as President of the Society of Genito-Urinary Surgeons (GURS) and the European Society of Genito-Urinary Surgeons (ESGURS). Memberships include the European Association of Paediatric Urology (ESPU), the American Academy of Pediatrics (AAP), the Society of Pediatric Urologic Surgeons (SPUS), the European Association of Urology (EAU), the American Association of Urology (AUA), the German Association of Urology (DGU), the Panafrican Association of Urology (PAUSA), and the German-Japanese Confederation of Urology. She has published >300 papers and book chapters, with >90 as first author, and organizes the tri-annual International Meeting on Reconstructive Urology (IMORU).

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