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Artificial urinary sphincter (AMS 800) implantation for women with intrinsic sphincter deficiency: a technique for insiders?
Author(s) -
ChartierKastler Emmanuel,
Van Kerrebroeck Philip,
Olianas Roberto,
Cosson Michel,
Mandron Eric,
Delorme Emmanuel,
Richard François
Publication year - 2011
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1111/j.1464-410x.2010.09610.x
Subject(s) - artificial urinary sphincter , urinary incontinence , medicine , sphincter , quality of life (healthcare) , urethral sphincter , complication , urology , psychological intervention , urinary system , stress incontinence , surgery , nursing
Study Type – Therapy (case series)
Level of Evidence 4 Artificial urinary sphincter (AUS) implantation is one of several surgical options for the treatment of female stress urinary incontinence. It is indicated for women with both clinically and urodynamically defined intrinsic sphincter deficiency that significantly affects quality of life. The erosion/revision risk increases after several previous surgical interventions. Therefore, women believed to be candidates for AUS implantation should be rapidly (after the failure of a maximum of two previous surgical procedures) referred to specialized centres, where the knowledge and experience concerning the diagnosis, surgery and management of female stress urinary incontinence is concentrated. To refer correctly, non‐academic urologists/gynaecologists should also be well informed about AUS implantation. Only in this way can the patient weigh the high long‐term success rate and high quality of life improvement of AUS implantation against the greater complication/revision risk and take a well‐considered decision.