title: Artificial urinary sphincter (AMS 800) implantation for women with intrinsic sphincter deficiency: a technique for insiders?
abstract: Artificial urinary sphincter (AUS) implantation is one of several surgical options for the treatment of female stress urinary incontinence. It is indicated for women with both clinically and urodynamically defined intrinsic sphincter deficiency that significantly affects quality of life. The erosion/revision risk increases after several previous surgical interventions. Therefore, women believed to be candidates for AUS implantation should be rapidly (after the failure of a maximum of two previous surgical procedures) referred to specialized centres, where the knowledge and experience concerning the diagnosis, surgery and management of female stress urinary incontinence is concentrated. To refer correctly, non-academic urologists/gynaecologists should also be well informed about AUS implantation. Only in this way can the patient weigh the high long-term success rate and high quality of life improvement of AUS implantation against the greater complication/revision risk and take a well-considered decision.
authors.affiliation: Department of Urology, Pitié-Salpêtrière Hospital, Pierre and Marie Curie Medical School, Paris VI, Paris, France. emmanuel.chartier-kastler@psl.aphop-paris.fr
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Chartier-Kastler
authors.forename: Philip
authors.initials: P
authors.lastname: Van Kerrebroeck
authors.forename: Roberto
authors.initials: R
authors.lastname: Olianas
authors.forename: Michel
authors.initials: M
authors.lastname: Cosson
authors.forename: Eric
authors.initials: E
authors.lastname: Mandron
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Delorme
authors.forename: François
authors.initials: F
authors.lastname: Richard
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002983:Clinical Competence; D004812:Epidemiologic Methods; D005260:Female; D006801:Humans; D008875:Middle Aged; D011788:Quality of Life; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D016741:Urinary Sphincter, Artificial; D013520:Urologic Surgical Procedures / Q000009:adverse effects / Q000193:education / Q000592:standards*; D055815:Young Adult