Laparoscopic Approach for Artificial Urinary Sphincter Implantation in Women with Intrinsic Sphincter Deficiency Incontinence: A Single-Centre Preliminary Experience

Rouprêt, Morgan; Misraï, Vincent; Vaessen, Christophe; Cardot, V.; Cour, F.; Richard, François; Chartier‐Kastler, Emmanuel

doi:10.1016/j.eururo.2009.03.045

Cited by 68 publications

(47 citation statements)

References 19 publications

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“…Two experienced surgeons [11,12] were individually dedicated to each procedure, and the patients underwent either LSCP or RALSCP at the physician's discretion. LSCP was performed via a transperitoneal approach, and for the RALSCP, we used the 3-arm da Vinci ® surgical system and a transperitoneal four-port technique.…”

Section: Operative Techniquementioning

confidence: 99%

Prospective comparison of short-term functional outcomes obtained after pure laparoscopic and robot-assisted laparoscopic sacrocolpopexy

et al. 2011

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Objective To prospectively compare short-term functional outcomes achieved by laparoscopic or robot-assisted sacrocolpopexy for pelvic organ prolapse. Materials and methods We prospectively collected clinical and operative data over 24 months for female patients who underwent either pure laparoscopic sacrocolpopexy (LSCP) or robot-assisted laparoscopic sacrocolpopexy (RALSCP). Clinical data included age, BMI and assessment of PFDI-20 score. Perioperative data included operative time and complications. Post-operative outcomes included hospital stay, length of catheterisation, pain and functional outcomes as assessed by clinical examination and PFDI-20 score assessment. Results Overall, 67 women with a median age of 65 were included: 47 in the LSCP arm and 20 in the RALSCP arm. RALSCP was superior in terms of blood loss (median 55mls vs. 280; P = 0.03) and strict operative time (median 125 min vs. 220; P < 0.0001), but this time advantage was nulliWed when comparing overall operating room time (215 min vs. 220). With a median follow-up of 16 months, the overall anatomic repair rate was 98.5%, and there was an improvement in overall PFDI-20 score before and after surgery (P = 0.001) but with no diVerence between the two surgical approaches. Conclusions RALSCP allows for a safe and eVective repair of pelvic organ prolapse in female patients. Whilst being equivalent to LSCP in terms of functional outcome, it is superior in terms of blood loss and strict operative time. These results are based on short-term assessment, and further studies of larger populations with longer follow-up and objective assessments of outcome are needed to make any deWnitive statement.

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Section: Operative Techniquementioning

confidence: 99%

Prospective comparison of short-term functional outcomes obtained after pure laparoscopic and robot-assisted laparoscopic sacrocolpopexy

et al. 2011

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“…The criteria used in the studies with AUS to define continence were represented in Table 2. Discrepancies exist in the definition of continence reported in the main series [34][35][36][37][38][39][40][41][42][43][44]. Furthermore, subjective outcomes were rarely reported.…”

Section: Ausmentioning

confidence: 75%

Outcome measures for stress urinary incontinence treatment: Can we minimally agree?

Phé

Chartier‐Kastler

2015

World J Urol

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“…Laparoscopic and robotic AUS implantation techniques have been proposed recently . The few data published have to be analyzed carefully, considering a higher rate of bladder and/or vaginal injury leading to abortion of AUS implantation or the occurrence of short‐term erosion.…”

Section: Resultsmentioning

confidence: 99%

Artificial Urinary Sphincter: Report of the 2015 Consensus Conference

Biardeau

Aharony

Campeau

et al. 2016

Neurourology and Urodynamics

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Laparoscopic Approach for Artificial Urinary Sphincter Implantation in Women with Intrinsic Sphincter Deficiency Incontinence: A Single-Centre Preliminary Experience

Cited by 68 publications

References 19 publications

Prospective comparison of short-term functional outcomes obtained after pure laparoscopic and robot-assisted laparoscopic sacrocolpopexy

Prospective comparison of short-term functional outcomes obtained after pure laparoscopic and robot-assisted laparoscopic sacrocolpopexy

Outcome measures for stress urinary incontinence treatment: Can we minimally agree?

Artificial Urinary Sphincter: Report of the 2015 Consensus Conference

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