5-Year results of robotic female AUS implantation: our single-center series of 42 patients
Introduction: In recent years, several preliminary reports have suggested that the robot-assisted approach may decrease the surgical morbidity of artificial urinary sphincter (AUS) implantation in female patients with stress urinary incontinence (SUI). However, for now, only short-term outcomes have...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2025-06-01
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| Series: | Therapeutic Advances in Urology |
| Online Access: | https://doi.org/10.1177/17562872251342699 |
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| author | Alexandre Dubois Claire Richard Camille Haudebert Juan Penafiel Caroline Voiry Magali Jezequel Emmanuelle Samson Lucas Freton Andrea Manunta Juliette Hascoet Benoit Peyronnet |
| author_facet | Alexandre Dubois Claire Richard Camille Haudebert Juan Penafiel Caroline Voiry Magali Jezequel Emmanuelle Samson Lucas Freton Andrea Manunta Juliette Hascoet Benoit Peyronnet |
| author_sort | Alexandre Dubois |
| collection | DOAJ |
| description | Introduction: In recent years, several preliminary reports have suggested that the robot-assisted approach may decrease the surgical morbidity of artificial urinary sphincter (AUS) implantation in female patients with stress urinary incontinence (SUI). However, for now, only short-term outcomes have been reported. The present study aimed to report the 5-year outcomes of robot-assisted AUS implantation in female patients. Patients and methods: All female patients who underwent a robot-assisted AUS implantation between January 2014 and September 2019 at a single academic center were included in a retrospective study. All robot-assisted female AUS implantations performed after September 2019 were excluded to ensure a 5-year minimum follow-up duration. The indication for AUS implantation was SUI due to intrinsic sphincter deficiency. The primary endpoint was the explantation-free survival and revision-free survival. Results: Forty-two patients were included. The median age was 66 years (28–84), and 83.8% of the patients had a history of previous anti-incontinence procedure. After a median follow-up of 64 months (16–110), 8 patients were lost to follow-up before the 5-year time point. The 5-year estimated revision-free survival was 89.2 and the 5-year estimated explantation-free survival was 88%. Five AUS explantations were needed (11.9%), and six revisions were required (14.3%). The median time to explantation was 14 months. Four explantations (80%) occurred within the first 18 months, and all of them within the first 27 months. Thirty patients (71.42%) had a complete or improved continence with a complete continence rate of 59.52% and an improved continence rate of 11.9%. There were 10 intraoperative complications (23.8%): 5 bladder injuries and 5 vaginal injuries. Thirteen patients had postoperative complications (30.9%), but only two were Clavien grade ⩾3. Conclusion: The 5-year outcomes of robot-assisted AUS implantation seem to confirm the promising short-term outcomes that have been reported so far, although revision rates increased with time, which warrants further investigation. |
| format | Article |
| id | doaj-art-348857e762ac4e6cae82fea8f89be944 |
| institution | OA Journals |
| issn | 1756-2880 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | SAGE Publishing |
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| series | Therapeutic Advances in Urology |
| spelling | doaj-art-348857e762ac4e6cae82fea8f89be9442025-08-20T02:08:36ZengSAGE PublishingTherapeutic Advances in Urology1756-28802025-06-011710.1177/175628722513426995-Year results of robotic female AUS implantation: our single-center series of 42 patientsAlexandre DuboisClaire RichardCamille HaudebertJuan PenafielCaroline VoiryMagali JezequelEmmanuelle SamsonLucas FretonAndrea ManuntaJuliette HascoetBenoit PeyronnetIntroduction: In recent years, several preliminary reports have suggested that the robot-assisted approach may decrease the surgical morbidity of artificial urinary sphincter (AUS) implantation in female patients with stress urinary incontinence (SUI). However, for now, only short-term outcomes have been reported. The present study aimed to report the 5-year outcomes of robot-assisted AUS implantation in female patients. Patients and methods: All female patients who underwent a robot-assisted AUS implantation between January 2014 and September 2019 at a single academic center were included in a retrospective study. All robot-assisted female AUS implantations performed after September 2019 were excluded to ensure a 5-year minimum follow-up duration. The indication for AUS implantation was SUI due to intrinsic sphincter deficiency. The primary endpoint was the explantation-free survival and revision-free survival. Results: Forty-two patients were included. The median age was 66 years (28–84), and 83.8% of the patients had a history of previous anti-incontinence procedure. After a median follow-up of 64 months (16–110), 8 patients were lost to follow-up before the 5-year time point. The 5-year estimated revision-free survival was 89.2 and the 5-year estimated explantation-free survival was 88%. Five AUS explantations were needed (11.9%), and six revisions were required (14.3%). The median time to explantation was 14 months. Four explantations (80%) occurred within the first 18 months, and all of them within the first 27 months. Thirty patients (71.42%) had a complete or improved continence with a complete continence rate of 59.52% and an improved continence rate of 11.9%. There were 10 intraoperative complications (23.8%): 5 bladder injuries and 5 vaginal injuries. Thirteen patients had postoperative complications (30.9%), but only two were Clavien grade ⩾3. Conclusion: The 5-year outcomes of robot-assisted AUS implantation seem to confirm the promising short-term outcomes that have been reported so far, although revision rates increased with time, which warrants further investigation.https://doi.org/10.1177/17562872251342699 |
| spellingShingle | Alexandre Dubois Claire Richard Camille Haudebert Juan Penafiel Caroline Voiry Magali Jezequel Emmanuelle Samson Lucas Freton Andrea Manunta Juliette Hascoet Benoit Peyronnet 5-Year results of robotic female AUS implantation: our single-center series of 42 patients Therapeutic Advances in Urology |
| title | 5-Year results of robotic female AUS implantation: our single-center series of 42 patients |
| title_full | 5-Year results of robotic female AUS implantation: our single-center series of 42 patients |
| title_fullStr | 5-Year results of robotic female AUS implantation: our single-center series of 42 patients |
| title_full_unstemmed | 5-Year results of robotic female AUS implantation: our single-center series of 42 patients |
| title_short | 5-Year results of robotic female AUS implantation: our single-center series of 42 patients |
| title_sort | 5 year results of robotic female aus implantation our single center series of 42 patients |
| url | https://doi.org/10.1177/17562872251342699 |
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