TY - JOUR
T1 - Current Use of the Artificial Urinary Sphincter in Adult Females
AU - Peyronnet, Benoit
AU - Greenwell, Tamsin
AU - Gray, Gary
AU - Khavari, Rose
AU - Thiruchelvam, Nikesh
AU - Capon, Grégoire
AU - Ockrim, Jeremy
AU - Lopez-Fando, Luis
AU - Gilleran, Jason
AU - Fournier, Georges
AU - Van Koeveringe, Gommert A.
AU - Van Der Aa, Frank
N1 - Publisher Copyright:
© 2020, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2020/10/24
Y1 - 2020/10/24
N2 - PURPOSE OF REVIEW: The aim of the present report was to review the recent evidences regarding the use of artificial urinary sphincter (AUS) in adult females.RECENT FINDINGS: While the excellent functional outcomes of AUS in female patients with stress urinary incontinence (SUI) due to intrinsic sphincter deficiency (ISD) have been reported for decades, its use has remained confidential in most countries likely due to its challenging implantation and inherent morbidity. Over the past few years, laparoscopic and, more recently, robotic techniques of AUS implantation in female patients have been described with promising perioperative outcomes. As a result, the use of AUS has increased in several countries. The indications are mostly recurrent or persistent SUI after previous anti-incontinence procedures and neurogenic SUI. Owing to its unique potential to restore continence while maintaining low outlet resistance during the voiding phase, AUS may be of special interest in female patients with detrusor underactivity. High level of evidence data from trials which are underway, along with developments in robotic surgery and technological refinements of the device, may well, almost 50 years after its introduction, give to the AUS its momentum as a major contributor in the female SUI armamentarium. While the use of AUS in female patients has been restricted to some countries and a few high-volume centers, it has started spreading again over the past few years, thanks to the rise of minimally invasive approaches which facilitate its implantation, and this is yielding promising outcomes.
AB - PURPOSE OF REVIEW: The aim of the present report was to review the recent evidences regarding the use of artificial urinary sphincter (AUS) in adult females.RECENT FINDINGS: While the excellent functional outcomes of AUS in female patients with stress urinary incontinence (SUI) due to intrinsic sphincter deficiency (ISD) have been reported for decades, its use has remained confidential in most countries likely due to its challenging implantation and inherent morbidity. Over the past few years, laparoscopic and, more recently, robotic techniques of AUS implantation in female patients have been described with promising perioperative outcomes. As a result, the use of AUS has increased in several countries. The indications are mostly recurrent or persistent SUI after previous anti-incontinence procedures and neurogenic SUI. Owing to its unique potential to restore continence while maintaining low outlet resistance during the voiding phase, AUS may be of special interest in female patients with detrusor underactivity. High level of evidence data from trials which are underway, along with developments in robotic surgery and technological refinements of the device, may well, almost 50 years after its introduction, give to the AUS its momentum as a major contributor in the female SUI armamentarium. While the use of AUS in female patients has been restricted to some countries and a few high-volume centers, it has started spreading again over the past few years, thanks to the rise of minimally invasive approaches which facilitate its implantation, and this is yielding promising outcomes.
KW - Female
KW - Robotics
KW - Urinary incontinence, stress
KW - Urinary sphincter, artificial
KW - Robotic Surgical Procedures
KW - Humans
KW - Adult
KW - Treatment Outcome
KW - Laparoscopy
KW - Prosthesis Implantation/methods
KW - Urinary Incontinence, Stress/surgery
KW - Urinary Sphincter, Artificial/adverse effects
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UR - http://www.scopus.com/inward/citedby.url?scp=85093961427&partnerID=8YFLogxK
U2 - 10.1007/s11934-020-01001-1
DO - 10.1007/s11934-020-01001-1
M3 - Review article
C2 - 33098485
AN - SCOPUS:85093961427
VL - 21
SP - 53
JO - Current Urology Reports
JF - Current Urology Reports
SN - 1527-2737
IS - 12
M1 - 53
ER -