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Current Use of the Artificial Urinary Sphincter in Adult Females

Authors :
Gary Gray
Georges Fournier
Tamsin Greenwell
Gommert van Koeveringe
Jason Gilleran
Jeremy Ockrim
L. López-Fando
Rose Khavari
Nikesh Thiruchelvam
Frank Van der Aa
Grégoire Capon
Benoit Peyronnet
MUMC+: MA Urologie (3)
Urologie
MUMC+: MA Urologie (9)
RS: MHeNs - R3 - Neuroscience
Source :
Current Urology Reports, 21(12):53. Current Science, Inc.
Publication Year :
2020
Publisher :
Springer Science and Business Media LLC, 2020.

Abstract

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.

Details

ISSN :
15346285 and 15272737
Volume :
21
Database :
OpenAIRE
Journal :
Current Urology Reports
Accession number :
edsair.doi.dedup.....f3906098f435c5f84203dbb4bd7710d9
Full Text :
https://doi.org/10.1007/s11934-020-01001-1