Functional results and complications of artificial urinary sphincter AMS 800: About 84 cases

• Published in: Progrès en urologie (Paris) Vol. 21; no. 3; p. 203
• Main Authors: Beaujon, N, Marcelli, F, Fantoni, J-C, Biserte, J
• Format: Journal Article
• Language: French
• Published: France 01.03.2011
• Subjects: Adult; Aged; Aged, 80 and over; Female; Humans; Male; Middle Aged; Postoperative Complications - epidemiology; Recovery of Function; Retrospective Studies; Urinary Incontinence - surgery; Urinary Sphincter, Artificial - adverse effects; Young Adult
• ISSN: 1166-7087
• DOI: 10.1016/j.purol.2010.06.003

To verify the effectiveness and safetiness of artificial urinary sphincter (SUA) AMS 800™ in the management of urinary incontinence by sphincter incompetence. Retrospective study of patients who received SUA by the same operator between 1992 and 2006. Fifty-seven men and 27 women whose average age was 61 years (22-82) suffered from incontinence by sphincter incompetence: after radical prostatectomy (46%), primary stress or mixed incontinence (21.4%), transurethral resection of prostate (9.5%), injury and neurological malformations (9.5%), pelvic or urethral trauma (7.1%), rectal surgery (3.6%), adenomectomy (2.4%). Functional assessment was made by telephone based on a 23-item questionnaire (Appendix 2). The mean follow-up was 52.6 months (5.3-187.1): 64% had their original SUA, 50 re-interventions were necessary for 30 patients with 13.1% mechanical complications, 6.6% urethral atrophy, and 13.9% infectious complications, 2.5% failures and 9% definitive explant. The half-time survival without revision was 8.3 years. Sixty-seven percent of patients were contacted for the functional assessment: 77% success rate (≤1 protection), 85% of patients improved, 87% satisfied or very satisfied and 94% would go again through the same operation. The artificial urinary sphincter AMS 800™ remains still the reference in the management of urinary incontinence by sphincter incompetence in improving the quality of life of patients implanted at the cost of a significant revision rate and frequent residual leaks.