OBJECTIVE: To assess long-term outcomes obtained with artificial urinary sphincter (AUS) in women with stress urinary incontinence (UI).
MATERIALS AND METHODS: Women with stress UI due to intrinsic sphincter deficiency who underwent an AUS placement between 1984 and 1992 were included. The explantation, revision and deactivation rates were reported. Continence, defined as no pad use, was assessed at the end of the follow up. Kaplan Meier survival curves were generated to evaluate the survival rate of the device without explantation or revision.
RESULTS: A total of 34 patients were included. The median age of the patients at surgery was 56,5 years (IQR min 50; max 64,7), and the median follow up was 17 years (IQR min 12; max 19). Overall, 26 women (74%) still had their AUSs in place at the end of the follow up, while eight patients underwent an explantation of the device. The 10-, 15- and 20-year device survival rates without explantation were 80%, 80% and 74%, respectively. The 10-, 15- and 20-year survival rates of the device without revision were 79%, 65% and 40%, respectively. After 20 years of follow up, 11 women retained successful outcomes (61%).
CONCLUSION: The AUS provided satisfying very long-term functional results among women with stress UI due to intrinsic sphincter deficiency.
Written by:
Phé V, Benadiba S, Rouprêt M, Granger B, Richard F, Chartier-Kastler E. Are you the author?
AP-HP, Pitié-Salpétrière Academic Hospital, Department of Urology and of Statistics, Pierre and Marie Curie Medical School, University Paris VI, Paris, France.
Reference: BJU Int. 2013 Jul 9. Epub ahead of print.
doi: 10.1111/bju.12360
PubMed Abstract
PMID: 24053369
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