Evidence map›Paper›PMID 41042705›Full record

Observational studyThe Journal of urology2026

The Artificial Urinary Sphincter Clinical Outcomes Trial: Primary Results.

Melissa R Kaufman, Hadley M Wood, Ryan Terlecki, Daniel Moon, Jeremy Myers, Alex J Vanni, LeRoy Jones, Joshua A Broghammer, Gerard Henry, Benjamin N Breyer and 11 more

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in The Journal of urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04088331 (Artificial Urinary Sphincter Clinical Outcomes), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04088331 completednot on this map

Artificial Urinary Sphincter Clinical Outcomes

TypeobservationalSponsorBoston Scientific CorporationRan2019 to 2024Enrolled145ConditionsStress Urinary IncontinenceArmsAMS 800 Artificial Urinary Sphincter
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Melissa R KaufmanVanderbilt University Medical Center, Nashville, Tennessee.
Hadley M WoodGlickman Urological Institute, Cleveland, Ohio.
Ryan TerleckiAtrium Health Wake Forest Baptist, Winston-Salem, North Carolina.
Daniel MoonUniversity of Melbourne, Royal Melbourne Clinical School, Melbourne, Victoria, Australia.
Jeremy MyersDivision of Urology, Department of Surgery, University of Utah, Salt Lake City, Utah.
Alex J VanniLahey Hospital and Medical Center, Burlington, Massachusetts.
LeRoy JonesUrology San Antonio, San Antonio, Texas.
Joshua A BroghammerUniversity of Kansas Medical Center, Lawrence, Kansas.
Gerard HenryWillis-Knighton Bossier Medical Center, Bossier City, Louisiana.
Benjamin N BreyerDepartment of Urology, University of California San Francisco, San Francisco, California.
Bradley EricksonUniversity of Iowa Hospitals and Clinics, Iowa City, Iowa.
Arthur L BurnettJohns Hopkins Medicine Institutions, Baltimore, Maryland.
Niels V JohnsenVanderbilt University Medical Center, Nashville, Tennessee.
Lewis Wen Loong ChanConcord Repatriation General Hospital, Sydney, New South Wales, Australia.
Brian J FlynnUniversity of Colorado, Anschutz Medical Campus, Aurora, Colorado.
Rose KhavariHouston Methodist Hospital and Weill Cornell Medicine, Houston, Texas.
Thomas G SmithAnderson Cancer Center, Houston, Texas.
Sean ElliottDepartment of Urology, University of Minnesota, Minneapolis, Minnesota.
Erin L ChausseeBoston Scientific, Minnetonka, Minnesota.
Kaitlyn RainbowBoston Scientific, Minnetonka, Minnesota.
Andrew C PetersonDuke University Medical Center, Durham, North Carolina.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe artificial urinary sphincter (AUS) endures as the standard-of-care treatment for mild-to-severe male stress urinary incontinence. Prior studies report outcomes from predominantly single-center retrospective series. In this study, we present data from a multi-institutional analysis of AUS clinical outcomes to assess efficacy, safety, and quality of life (QOL) to standardize result reporting. MATERIALS AND

methodsArtificial Urinary Sphincter Clinical Outcomes is a single-arm, prospective, multicenter study designed to evaluate the American Medical Systems 800 in men with primary stress urinary incontinence (NCT04088331). One hundred fifteen participants were implanted at 17 sites. The primary end point was ≥ 50% improvement in 24-hour pad weight 12 months post device activation. Secondary end points including pad use, urinary incontinence events per day, QOL, and device satisfaction were measured between 3 and 12 months post device activation and compared with baseline.

resultsAt 12 months, 94% (91/97) participants experienced ≥ 50% pad weight reduction (

conclusionsIn this prospective trial, the AUS allowed most men to achieve total continence with a serious adverse event rate less than 15%. Participants experienced significant continence recovery with transformational improvement in patient-reported outcomes.

trial registrationClinicalTrials.gov Identifier: NCT04088331.

Indexed as

Quality of LifeUrinary Incontinence, StressUrinary Sphincter, ArtificialAgedHumansMaleMiddle AgedPatient SatisfactionProspective StudiesTreatment Outcomequality of lifeurinary incontinence, stressurinary sphincter, artificial

Identifiers

PMID41042705
PMCPMC12794701

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.