Richard F
Service d'Urologie, CHU Pitié-Salpêtrière, 47-83, boulevard de l'Hôpital, 75651 Paris cedex 13, France.
Prog Urol. 2010 Feb;20 Suppl 2:S155-60. doi: 10.1016/S1166-7087(10)70011-7.
The indication for artificial urinary sphincter implantation in women is based on several para meters: severity of incontinence, sphincter deficiency with negative urethral support maneuvers, the notion of postsurgery recurrence of incontinence, and absence of contraindication. Quality preoperative clinical and urodynamic assessment is indispensable. The factors for success depend on: implantation on tissue that has not been damaged by repeated interventions; well-codified technique based on regular surgical experience; sufficiently long deactivation; long-term monitoring with expertise in managing breakdowns and revisions.
