title: [Functional results and complications of artificial urinary sphincter AMS 800: About 84 cases].
abstract: OBJECTIVE
  To verify the effectiveness and safetiness of artificial urinary sphincter (SUA) AMS 800™ in the management of urinary incontinence by sphincter incompetence.
  
  
  METHODS
  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).
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Service d'urologie, hôpital Claude-Huriez, 1, place de Verdun, 59037 Lille, France. nbeaujon@hotmail.com
authors.forename: N
authors.initials: N
authors.lastname: Beaujon
authors.forename: F
authors.initials: F
authors.lastname: Marcelli
authors.forename: J-C
authors.initials: JC
authors.lastname: Fantoni
authors.forename: J
authors.initials: J
authors.lastname: Biserte
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D020127:Recovery of Function; D012189:Retrospective Studies; D014549:Urinary Incontinence / Q000601:surgery*; D016741:Urinary Sphincter, Artificial / Q000009:adverse effects*; D055815:Young Adult