A new approach to laparoscopic implantation of artificial urinary sphincter: Vesicovaginal approach to the bladder neck

Hernández, Mercedes Ruíz; López-Fando, Luis; Vicente, Javier; Jiménez-Cidre, Miguel Ángel; Sánchez-Gallego, M.D.; Álvaro, J. Lorca; Díaz-Pérez, D.E.; Burgos-Revilla, F.J.

doi:10.1016/j.acuroe.2018.11.005

Cited by 1 publication

(1 citation statement)

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“…They reported no intraoperative bladder neck or vaginal injury and no erosion after a median follow-up of 12 months [48••]. A Spanish team recently described the use of the same "posterior" technique with a laparoscopic approach [49]. Interestingly, an association between the development of these minimally invasive implantation techniques and an increase in the use of female AUS has been noted in France (+28.9% from 205 to 2017) suggesting that the technical facilitation of AUS implantation, thanks to these newer approaches, may favor the adoption of female AUS by urologists [26••].…”

Section: The Rise Of Minimally Invasive Surgical Approachesmentioning

confidence: 99%

Current Use of the Artificial Urinary Sphincter in Adult Females

et al. 2020

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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 antiincontinence 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. Summary 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.

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Section: The Rise Of Minimally Invasive Surgical Approachesmentioning

confidence: 99%