title: [Long-term results of the treatment of urinary incontinence with bulbar implantation of artificial urinary sphincter in men: a single-center experience].
abstract: OBJECTIVE
  To report the functional results and morbidity after implantation of bulbar artificial urinary sphincter (AUS) in incontinent men with at least 5 years of follow-up.
  
  
  METHODS
  The files of patients treated between 1984 and 2003 by setting up a SAU at bulbar location were reviewed. The following data were recorded: age, etiology of incontinence, intra-operative complications. To evaluate the results on continence, patients were seen at 1, 3, 6 and 12 months, and yearly thereafter.
  
  
  RESULTS
  Overall, 159 men implanted with an AUS were included. The median age was 68.4 years and the median follow-up was 69 months. The etiology of incontinence was a prostate surgery in 83% of cases. The five-year rates of continence and satisfaction were 74.2% (n=118) and 92% (n=140), respectively. The five-year rates of infections and erosions were 4.4% and 9.4%, respectively. In case of previous radiotherapy, the rate of erosion at 5 years was 22.2%. The rate of atrophy and urethral mechanical failure at 5 years was 7.5% and 23.6%, respectively. The rate of reoperation at 5 years was 41.5%.
  
  
  CONCLUSIONS
  Our results confirm that the AUS is still the standard treatment for male with urinary incontinence due to intrinsic sphincter deficiency. Minimally invasive therapies are being developed that could overcome the mechanical failures and offer an alternative in case of primary or even secondary failure of the AUS.
authors.affiliation: Service d'urologie, hôpital Pitié-Salpêtrière, Assistance publique-Hôpitaux de Paris, faculté de médecine Pierre-et-Marie-Curie, université Paris VI, 47-83 boulevard de l'Hôpital, 75651 Paris cedex 13, France.
authors.forename: M
authors.initials: M
authors.lastname: Bordenave
authors.forename: M
authors.initials: M
authors.lastname: Rouprêt
authors.forename: L
authors.initials: L
authors.lastname: Taksin
authors.forename: J
authors.initials: J
authors.lastname: Parra
authors.forename: F
authors.initials: F
authors.lastname: Cour
authors.forename: F
authors.initials: F
authors.lastname: Richard
authors.forename: M-O
authors.initials: MO
authors.lastname: Bitker
authors.forename: E
authors.initials: E
authors.lastname: Chartier-Kastler
mesh_terms: D000368:Aged; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000601:surgery*; D016741:Urinary Sphincter, Artificial