title: Laparoscopic implantation of an artificial urinary sphincter around the prostatic urethra.
abstract: OBJECTIVE
  To report the first laparoscopic periprostatic implantation of an artificial urinary sphincter (AUS) after a transurethral resection of the prostate.
  
  
  BACKGROUND
  The implantation of an AUS is a standard procedure for severe urinary incontinence. In men it is usually implanted through a perineal approach, with the cuff placed around the bulbous urethra, bladder neck, or even around the prostate.
  
  
  METHODS
  We report a laparoscopic periprostatic implantation of an AUS after a transurethral resection of a prostate in a 72-year-old-man with incontinence.
  
  
  RESULTS
  The operative duration was 180 min and the blood loss was 150 mL. There were no complications. After activating the AUS the patient was totally continent.
  
  
  CONCLUSIONS
  The laparoscopic periprostatic implantation of an AUS is a safe, effective and considerably less invasive procedure.
authors.affiliation: Department of Urology, Jagiellonian University, Cracow, Poland ; Department of Urology Medical Centre of Postgraduate Education, Warsaw, Poland ; Department of Urology, Institute of Oncology, Kielce, Poland.
authors.forename: Piotr
authors.initials: P
authors.lastname: Chłosta
authors.affiliation: Department of Urology, Jagiellonian University, Cracow, Poland ; Islamic University of Gaza, College of Medicine, Gaza, Palestine.
authors.forename: Omar
authors.initials: O
authors.lastname: Aboumarzouk
authors.affiliation: Department of Urology, Southend University Hospital, Westcliff-on-Sea, UK.
authors.forename: Jasper
authors.initials: J
authors.lastname: Bondad
authors.affiliation: Department of Urology, Jagiellonian University, Cracow, Poland ; Department of Urology Medical Centre of Postgraduate Education, Warsaw, Poland.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Szopiński
authors.affiliation: Department of Urology, Institute of Oncology, Kielce, Poland.
authors.forename: Ignacy
authors.initials: I
authors.lastname: Korzelik
authors.affiliation: Department of Urology, Southend University Hospital, Westcliff-on-Sea, UK ; Department of Urology, Institute of Oncology, Kielce, Poland.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Borówka
keywords: AUS, artificial urinary sphincter; Artificial urinary sphincter; Laparoscopy; TURP; UI, urinary incontinence; Urinary incontinence