Artificial urinary sphincter implantation in women with stress urinary incontinence: preliminary comparison of robot-assisted and open approaches View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2016-03

AUTHORS

Benoit Peyronnet, Sébastien Vincendeau, Lauranne Tondut, Karim Bensalah, Mireille Damphousse, Andréa Manunta

ABSTRACT

INTRODUCTION AND HYPOTHESIS: We aimed to compare outcomes of open and robot-assisted artificial urinary sphincter (AUS) implantation in female patients. METHODS: The charts of all female patients who underwent an AUS implantation between 2008 and 2014 in a single center were retrospectively reviewed. From 2008 to 2012, AUS were implanted using an open approach and from 2013 to 2014 using a robot-assisted approach. Perioperative and functional parameters were compared between groups. The primary endpoint was continence status. RESULTS: Twenty-four women were assessed: 16 in the open group and eight in the robot-assisted group. Three patients had neurogenic stress urinary incontinence. Most patients had undergone previous procedures for urinary incontinence (15 in the open group and seven in the robotic group). Mean operative time was similar in both groups (214 vs. 211 min; p = 0.90). Postoperative complicationsrate was lower in the robot-assisted group (25 vs. 75 %; p = 0.02). There was a trend toward a lower intraoperative complication rate (37.5 vs. 62.5 %; p = 0.25), decreased blood loss (17 ml vs. 275 ml; p = 0.22), and shorter length of stay (3.5 vs. 9.3 days; p = 0.09) in the robot-assisted group. Continence rates were comparable in both groups (75 vs. 68.8 %; p = 0.75). Three AUS explantations were needed in the open group (18.8 %) compared with one in the robot-assisted group (12.5 %; p = 0.70). CONCLUSIONS: In female patients, the robot-assisted approach compared with open AUS implantation could decrease intraoperative and postoperative complication rates, length of hospital stay, and blood loss. More... »

PAGES

475-481

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00192-015-2858-7

DOI

http://dx.doi.org/10.1007/s00192-015-2858-7

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1033872813

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/26431841


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