Abstract
Purpose
Patients with artificial urinary eventually need surgical revision. Unfortunately, in women, this requires another invasive abdominal intervention. Robotic-assisted revision may provide a less invasive and more acceptable approach for sphincter revision in women. We wanted to determinate the continence status after robotic-assisted artificial urinary sphincter revision among women with stress incontinence. We also examined postoperative complications and the safety of the procedure.
Methods
The chart of the 31 women with stress urinary incontinence who underwent robotic-assisted AUS revision at our referral center from January 2015 to January 2022 were reviewed retrospectively. All patients underwent a robotic-assisted artificial urinary sphincter revision by one of our two expert surgeons. The primary outcome was to determinate the continence rate after revision and the secondary outcome aimed to evaluate the safety and feasibility of the procedure.
Results
Mean patients age was 65 years old, and the mean time between the sphincter revision and previous implantation was 98 months. After a mean follow-up of 35 months, 75% of the patients were fully continent (0-pad). Moreover, 71% of the women were back to the same continence status as with the previously functional sphincter, while 14% even have an improved continence status. Clavien–Dindo grade \(\ge \) 3 and overall complications occurred in 9% and 20.5% of our patients, respectively. This study is mainly limited by its retrospective design.
Conclusion
Robotic-assisted AUS revision carries satisfying outcome in terms of continence and safety.
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AB protocol and project development, data collection, data analysis, manuscript writing. CV project development, manuscript editing. PM project development, manuscript editing. MBP manuscript editing. XR manuscript editing. EC-K project development, manuscript editing.
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Pr. Emmanuel Chartier-Kastler: consultant/investigator at Boston Scientific, Medtronic, Promedon, Uromems, Coloplast, Convatec, BBraun, Wellspect, Uromedica.
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Bazinet, A., Vaessen, C., Mozer, P. et al. Robotic-assisted artificial urinary sphincter revisions for women suffering from non-neurogenic stress incontinence: a single center experience. World J Urol 41, 1691–1696 (2023). https://doi.org/10.1007/s00345-023-04399-8
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DOI: https://doi.org/10.1007/s00345-023-04399-8