PD27-07 ROBOT-ASSISTED ARTIFICIAL URINARY SPHINCTER IMPLANTATION IN FEMALE PATIENTS: AN INTERNATIONAL MULTICENTER STUDY

Abstract

You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Female Incontinence: Therapy II (PD27)1 Apr 2020PD27-07 ROBOT-ASSISTED ARTIFICIAL URINARY SPHINCTER IMPLANTATION IN FEMALE PATIENTS: AN INTERNATIONAL MULTICENTER STUDY Benoit Peyronnet*, Frank Van der Aa, Vincent Cardot, Grégoire Capon, Xavier Biardeau, Olivier Belas, Frederic Dubois, Juliette Hascoet, Vincent Cardot, Frederic Dubois, Vidart Adrien, Aurelien Descazeaud, Andrea Manunta, Luis Castro-Sader, Marta Allue, Frederic Thibault, Rainer Hein, Pierre Lecoanet, and Georges Fournier Benoit Peyronnet*Benoit Peyronnet* More articles by this author , Frank Van der AaFrank Van der Aa More articles by this author , Vincent CardotVincent Cardot More articles by this author , Grégoire CaponGrégoire Capon More articles by this author , Xavier BiardeauXavier Biardeau More articles by this author , Olivier BelasOlivier Belas More articles by this author , Frederic DuboisFrederic Dubois More articles by this author , Juliette HascoetJuliette Hascoet More articles by this author , Vincent CardotVincent Cardot More articles by this author , Frederic DuboisFrederic Dubois More articles by this author , Vidart AdrienVidart Adrien More articles by this author , Aurelien DescazeaudAurelien Descazeaud More articles by this author , Andrea ManuntaAndrea Manunta More articles by this author , Luis Castro-SaderLuis Castro-Sader More articles by this author , Marta AllueMarta Allue More articles by this author , Frederic ThibaultFrederic Thibault More articles by this author , Rainer HeinRainer Hein More articles by this author , Pierre LecoanetPierre Lecoanet More articles by this author , and Georges FournierGeorges Fournier More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000884.07AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The morbidity related to artificial urinary sphincter (AUS) implantation in women is usually considered as the drawback which has limited its widespread. In order to decrease this morbidity, several teams have recently reported the use of a robotic approach to implant the AUS in female patients. The aim of this study was to report the perioperative and functional outcomes of robotic AUS implantation in women. METHODS: All female patients who underwent robotic AUS implantation using a standardized technique (anterior approach) between 2013 and 2019 at fourteen european institutions were included in a retrospective study. The indication for AUS implantation was type III stress urinary incontinence and intrinsic sphincter deficiency defined as a combination of a low urethral closure pressure/Valsalva leak point pressure and loss of urethral mobility. The primary endpoint was the functional outcome categorized as dry (0 pads), improved or unchanged. RESULTS: One hundred and twenty-three patients underwent robotic AUS implantation. Patients’ characteristics are summarized in table 1. There were 20 intraoperative complications (16.3%): 12 bladder neck injuries and 8 vaginal injuries. Surgeons carried on with AUS implantation in all cases. Twenty-two patients experienced postoperative complications (18%) but only four were Clavien ≥3 (3.3%): three early AUS explantations (2 due to vaginal erosion, 1 due to infection) and one reoperation for bladder fistula. After a mean follow-up of 13 months, there were 5 AUS explantations performed in total (4.1%): the 3 early explantations reported above, one for chronic urinary retention and one for urethral erosion. At the latest follow-up visit, 99 patients were dry (80.5%), 12 were improved (6.9%) and 12 were unchanged (9.8%). CONCLUSIONS: This study is the first international multicenter series assessing the outcomes of robotic AUS implantation in women using a standardized technique. This series confirm the promising perioperative and functional outcomes reported in previous studies. Source of Funding: none © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e551-e552 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Benoit Peyronnet* More articles by this author Frank Van der Aa More articles by this author Vincent Cardot More articles by this author Grégoire Capon More articles by this author Xavier Biardeau More articles by this author Olivier Belas More articles by this author Frederic Dubois More articles by this author Juliette Hascoet More articles by this author Vincent Cardot More articles by this author Frederic Dubois More articles by this author Vidart Adrien More articles by this author Aurelien Descazeaud More articles by this author Andrea Manunta More articles by this author Luis Castro-Sader More articles by this author Marta Allue More articles by this author Frederic Thibault More articles by this author Rainer Hein More articles by this author Pierre Lecoanet More articles by this author Georges Fournier More articles by this author Expand All Advertisement PDF downloadLoading ...