Objectives: To report the functional outcomes of robot-assisted laparoscopic artificial urinary sphincter implantation (R-AUS) in men with neurogenic stress urinary incontinence (SUI). Patients and Methods: A monocentric retrospective study included all consecutive adult male neuro-urological patients who underwent R-AUS for SUI between January 2011 and August 2018. The AUS was implanted via a transperitoneal robot-assisted laparoscopic approach. Intraoperative and early postoperative complications were reported (Clavien–Dindo classification). Continence was defined as no pad usage. Revision and explantation rates were also evaluated. Results: Overall, 19 men with a median (interquartile range [IQR]) age of 45 (37–54) years were included. No conversion to laparotomy was needed. Three minor (Clavien–Dindo Grade I–II) early postoperative complications occurring in three (15.8%) patients were reported. The median (IQR) follow-up was 58 (36–70) months. At the end of the follow-up, the continence rate was 89.5%. The AUS revision and explantation rates were 5.3% and 0%, respectively. Conclusion: A R-AUS is a safe and efficient procedure for AUS implantation in adult male neuro-urological patients, referring to the challenging open technique.

Outcomes of robot-assisted urinary sphincter implantation for male neurogenic urinary incontinence / Chartier-Kastler, E.; Guillot-Tantay, C.; Ruggiero, M.; Cancrini, F.; Vaessen, C.; Phe, V.. - In: BJU INTERNATIONAL. - ISSN 1464-4096. - (2021). [10.1111/bju.15528]

Outcomes of robot-assisted urinary sphincter implantation for male neurogenic urinary incontinence

Cancrini F.;
2021

Abstract

Objectives: To report the functional outcomes of robot-assisted laparoscopic artificial urinary sphincter implantation (R-AUS) in men with neurogenic stress urinary incontinence (SUI). Patients and Methods: A monocentric retrospective study included all consecutive adult male neuro-urological patients who underwent R-AUS for SUI between January 2011 and August 2018. The AUS was implanted via a transperitoneal robot-assisted laparoscopic approach. Intraoperative and early postoperative complications were reported (Clavien–Dindo classification). Continence was defined as no pad usage. Revision and explantation rates were also evaluated. Results: Overall, 19 men with a median (interquartile range [IQR]) age of 45 (37–54) years were included. No conversion to laparotomy was needed. Three minor (Clavien–Dindo Grade I–II) early postoperative complications occurring in three (15.8%) patients were reported. The median (IQR) follow-up was 58 (36–70) months. At the end of the follow-up, the continence rate was 89.5%. The AUS revision and explantation rates were 5.3% and 0%, respectively. Conclusion: A R-AUS is a safe and efficient procedure for AUS implantation in adult male neuro-urological patients, referring to the challenging open technique.
2021
#Incontinence; #Urology; artificial urinary sphincter; neuro-urological; neurogenic bladder; robotics; stress urinary incontinence
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Outcomes of robot-assisted urinary sphincter implantation for male neurogenic urinary incontinence / Chartier-Kastler, E.; Guillot-Tantay, C.; Ruggiero, M.; Cancrini, F.; Vaessen, C.; Phe, V.. - In: BJU INTERNATIONAL. - ISSN 1464-4096. - (2021). [10.1111/bju.15528]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1581526
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