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Artificial Urinary Sphincter for Female Stress Urinary Incontinence

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Female Genitourinary and Pelvic Floor Reconstruction

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Abstract

Stress urinary incontinence (SUI) is a very common condition in women. Indeed, SUI affects nearly 25% of women during their lifetime and has a major impact on the patient’s health status, quality of life, and expenses. Treatment options are varied and range from behavioral therapy to surgery. However, when SUI is due to intrinsic sphincter deficiency, several therapeutic options, including surgery, tend to fail, making this affliction difficult to treat. An efficient solution for these women is the implantation of an artificial urinary sphincter (AUS). The high success rate of this procedure outweighs the potential drawbacks. Indeed, the principal complication of AUS is mechanical failure, which occurs on average 10 years after implantation in female patients. The first successful AUS surgery in women dates to 1972, and, since then, the technique and device have greatly improved. Multiple surgical approaches are possible for AUS implantation, the newest being the robotic-assisted laparoscopic implantation. In this chapter, we will review the indications, the preoperative evaluation, the surgical technique, as well as the complications and results of AUS implantation in women with non-neurological SUI.

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Author information

Authors and Affiliations

  1. Department of Urology, Maisonneuve-Rosemont Hospital, University of Montreal, QC, Canada

    Amélie Bazinet & Stéphanie Gazdovich

  2. Department of Urology, Sorbonne Université, Academic Hospital Pitié-Salpêtrière, Paris, France

    Emmanuel Chartier-Kastler

Authors
  1. Amélie Bazinet
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  2. Emmanuel Chartier-Kastler
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  3. Stéphanie Gazdovich
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Corresponding author

Correspondence to Emmanuel Chartier-Kastler .

Editor information

Editors and Affiliations

  1. University of Lisbon, Lisbon, Portugal

    Francisco E. Martins

  2. University of Oslo, Oslo, Norway

    Henriette Veiby Holm

  3. Memorial Sloan Kettering Cancer Center, New York, NY, USA

    Jaspreet S. Sandhu

  4. Eastern Virginia Medical School, Norfolk, VA, USA

    Kurt A McCammon

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Bazinet, A., Chartier-Kastler, E., Gazdovich, S. (2023). Artificial Urinary Sphincter for Female Stress Urinary Incontinence. In: Martins, F.E., Holm, H.V., Sandhu, J.S., McCammon, K.A. (eds) Female Genitourinary and Pelvic Floor Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-031-19598-3_24

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  • DOI: https://doi.org/10.1007/978-3-031-19598-3_24

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