title: [Treatment of women urinary incontinence by artificial urinary sphincter: efficacy, complications and survival].
abstract: OBJECTIVE
  To analyze long-term results and mechanical survival of the artificial urinary sphincter (AUS) AMS 800™ (American Medical Systems, Minnetonka, MN, USA) in women with stress urinary incontinence (SUI) due to intrinsic sphincter deficiency (ISD).
  
  
  METHODS
  Data were collected prospectively from women treated for SUI at one university hospital between 1987 and 2007. Inclusion criteria was SUI with severe ISD defined by low urodynamic closure pressure and negative continence tests. Endpoints were survival, complications and continence.
  
  
  RESULTS
  A total of 376 AUS were implanted in 344 patients with a median age of 57 years (18-93 years). The median follow-up was 9 years (3-20 years). The 3, 5, and 10 years global device survival were 92, 88.6, and 69.2% respectively. The mean mechanical survival was 176 months (14.7 years). The two main risk factors for decreased AUS survival were the number of previous incontinence surgeries and the presence of neurogenic bladder. The continence rates assessed as full (no leakage) in 85.64% patients, social (some drops but no pad) in 8.78% and incontinence (1 pad or more) in 5.58%.
  
  
  CONCLUSIONS
  The study has shown that in patients with ISD, the AUS represents an effective process, durable with an acceptable rate of complication.
authors.affiliation: Service d'urologie et d'andrologie, hôpital universitaire Caremeau, CHU de Nîmes, place du Professeur-R.-Debré, 30029 Nîmes cedex 9, France. gregoire.poinas@gmail.com
authors.forename: G
authors.initials: G
authors.lastname: Poinas
authors.forename: S
authors.initials: S
authors.lastname: Droupy
authors.forename: K
authors.initials: K
authors.lastname: Ben Naoum
authors.forename: M
authors.initials: M
authors.lastname: Boukaram
authors.forename: L
authors.initials: L
authors.lastname: Wagner
authors.forename: L
authors.initials: L
authors.lastname: Soustelle
authors.forename: P
authors.initials: P
authors.lastname: Costa
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D011475:Prosthesis Failure; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D016741:Urinary Sphincter, Artificial / Q000009:adverse effects; D055815:Young Adult