Détail du document
Identifiant
doi:10.1007/s00345-023-04716-1...
Auteur
Vrijens, Desiree Kendall, Harry Hervé, FrançoisLangue
enEditeur
Springer
Catégorie
Urology
Année
2024
Date de référencement
07/02/2024
Mots clés
neurogenic stress incontinence neurogenic lower urinary tract dys... artificial urinary sphincter sphincter deficiency sphincter artificial urinaryRésumé
Purpose Neurogenic stress urinary incontinence (N-SUI) is a condition with serious impact on the quality of life.
There are several treatment modalities of which the artificial urinary sphincter (AUS) stands out as the most suitable technique for addressing sphincter insufficiency.
In this article, the purpose is to describe practical considerations, outcomes, and complications of the artificial urinary sphincter in neurological sphincter deficiency in both males and females.
Methods A narrative review of the current literature.
Results The outcomes of AUS are reasonably good in patients with NLUTD, the surgical technique is discussed as well as the limitations and special considerations in this complex and heterogeneous patient population.
Conclusion The available evidence suggests that its efficacy and functional durability may be lower in patients with neurogenic lower urinary tract dysfunction (NLUTD) compared to those without neurological deficits.
However, studies have shown that AUS can still provide effective and safe continence outcomes in both male and female patients, with long-term device survival rates ranging from several years to over a decade.
Vrijens, Desiree,Kendall, Harry,Hervé, François, 2024, Neurological sphincter deficiency: is there a place for artificial urinary sphincter?, Springer
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