Outcomes of laparoscopic artificial urinary sphincter in women with stress urinary incontinence: mid-term evaluation View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2021-01-02

AUTHORS

Alice Schroeder, Pierre Munier, Christian Saussine, Thibault Tricard

ABSTRACT

PurposeAlthough artificial urinary sphincter (AUS) has become an established treatment for moderate to severe stress urinary incontinence (SUI), implantation can be challenging.This study aimed to review the outcomes of laparoscopic AUS (LAUS) implantation and revision in women presenting with SUI.MethodsWe reviewed the files of female patients presenting with moderate to severe SUI treated with LAUS implantation from October 2007 to July 2017. Surgeries were performed by one surgeon experienced in open AUS implantation and starting LAUS implantation. The primary endpoint was postoperative urinary continence, which was divided into three categories: complete continence, improved continence, and unchanged incontinence. The secondary outcomes were complications, explantation-free and revision-free time.ResultsA total of 49 women (mean age 64 years, range 40–80) had LAUS implantation. Among the 42 patients (85.7%) with an AUS in place at the last follow-up, 25 (59.5%) were fully continent, 16 (38.1%) had improved continence, and 1 (2.4%) had unchanged incontinence. At the last follow-up, 29 (59.2%) patients had their initial AUS and 13 (26.5%) had at least one reintervention. There were 9 (18.4%) intraoperative complications and 25 (51%) postoperative complications, of which 9 (18.4%) were Clavien⩾3. After a median follow-up of 4 years, 9 (18.4%) explantations and 11 (22.5%) revisions occurred. The average period without explantation or revision was 3.7 and 3.1 years, respectively.ConclusionOur study shows that the laparoscopic approach for AUS implantation is an efficient treatment option for women with moderate to severe SUI. More... »

PAGES

3057-3062

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00345-020-03527-y

DOI

http://dx.doi.org/10.1007/s00345-020-03527-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1134282708

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/33388876


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