Evidence map›Paper›PMID 39280667›Full record

ReviewTranslational andrology and urology2024

Artificial urinary sphincter and female stress urinary incontinence over the past 50 years: a narrative review.

Mariana Madanelo, Emmanuel Chartier-Kastler, Tamsin Greenwell, Gary Gray, Rose Khavari, Gommert A Van Koeveringe, Frank Van Der Aa, Benoit Peyronnet

Abstract readReview
In one paragraph

Review in Translational andrology and urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Mariana MadaneloDepartment of Urology, Centro Hospitalar Universitário de Santo António, Porto, Portugal.ORCID https://orcid.org/0000-0001-8429-7785
Emmanuel Chartier-KastlerDepartment of Urology, Pitié-Salpêtrière University Hospital, Paris Sorbonne University, Paris, France.ORCID https://orcid.org/0000-0003-4241-8125
Tamsin GreenwellDepartment of Urology, University College London Hospital, London, UK.ORCID https://orcid.org/0000-0002-9074-7604
Gary GrayDepartment of Urology, University of Alberta, Edmonton, Canada.
Rose KhavariDepartment of Urology, Houston Methodist Hospital, Houston, USA.ORCID https://orcid.org/0000-0001-6713-1679
Gommert A Van KoeveringeDepartment of Urology, Maastricht University Medical Centre, Maastricht, The Netherlands.ORCID https://orcid.org/0000-0003-2328-8265
Frank Van Der AaUniversity Hospitals KU Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0002-4617-3666
Benoit PeyronnetDepartment of Urology, University of Rennes, Rennes, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Objective: The aim of the present report was to provide an overview of the use of the artificial urinary sphincter (AUS) in adult females with stress urinary incontinence (SUI) over the past 50 years. Methods: A literature search was conducted in December 2022 and January 2023 using the MEDLINE and Embase databases, screening for randomized controlled trials (RCTs), prospective and retrospective series and reviews on AUS. Only articles published in English or French were included. The search strategy involved a free text protocol and the narrative review reporting checklist was completed. Key Content and Findings: The AUS is a device used over the past 50 years for SUI caused by intrinsic sphincter deficiency (ISD). It has the theoretical ability to simulate the function of a biological urinary sphincter. Although the role of the AUS for females with ISD remains heterogeneous from one part of the world to the other, the existing literature demonstrates that AUS yields satisfactory functional outcomes in female SUI patients, comparable or better to what has been reported in male AUS series. Hence, the main barrier to its adoption has so far been the technical challenge of its implantation at the bladder neck. Regarding the results of AUS implantation in females, we included in this review 3 reviews, retrospective studies and 1 prospective study. In recent years, robotic techniques of female AUS implantation have spread significantly with promising outcomes including numerous reports suggesting that it may decrease its morbidity. In the near future, the development of electromechanical devices may further expand the role of AUS in the management of female SUI. Conclusions: While the use of AUS in female patients provides excellent functional outcomes, it has been limited to scarce centers. However, due to the rise of minimally invasive approaches, it has started spreading again over the past few years. The future of AUS is likely to be bright, fed by technological advances of the device and robotic surgical system, high level of evidence studies and joint efforts of the urological community to facilitate its diffusion across the world.

Indexed as

artificialfemaleroboticsUrinary sphincter

Identifiers

PMID39280667
PMCPMC11399035

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.