{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T09:47:20Z","timestamp":1782467240162,"version":"3.54.5"},"reference-count":20,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T00:00:00Z","timestamp":1782432000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T00:00:00Z","timestamp":1782432000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Achieving continence in patients with neurogenic bladder is a difficult goal especially when stress urinary incontinence (SUI) due to intrinsic sphincter deficiency is involved. Two techniques are commonly used in that setting, but they have never been directly compared: the artificial urinary sphincter (AUS) and the fascial pubovaginal sling (PVS). The present study aims to compare the outcomes of AUS and PVS in female neuropathic patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective international multicenter study was conducted from 2014 to 2023. We included all women with a past medical history of neurogenic bladder who underwent AUS or a PVS insertion (cadaveric or fascia lata) at three centers. The primary endpoint was the outcomes as assessed by the patient global impression of improvement (PGII) at 3 months and at the last follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirty\u2010five patients were included: 16 with AUS and 19 with PVS. The PVS patients had fewer previous anti\u2010incontinence procedures (10.5% vs. 43.8%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02). The maximum cystometric capacity was significantly higher in the AUS group (364.1 vs. 252.8\u2009mL;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.03). All perioperative outcomes were similar in both groups with only two major postoperative complications in each group (12.5% vs. 10.5%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.99). Many functional outcomes favored AUS, but with no statistically significant difference, except for PGII\u2009=\u2009very much improved at 3 months (68.8% vs. 31.6%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.04).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>AUS and PVS are two procedures yielding satisfactory outcomes in the female neurogenic SUI population, with similar morbidity. The functional outcomes may be more favorable with AUS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nau.70357","type":"journal-article","created":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T09:09:28Z","timestamp":1782464968000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Fascial Mild Urethral Sling or Artificial Urinary Sphincter in the Neurological Women Population, a Multicenter Study"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-1195-0388","authenticated-orcid":false,"given":"Alicia","family":"Blondeau","sequence":"first","affiliation":[{"name":"Department of Urology Nancy University Hospital  France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7717-0986","authenticated-orcid":false,"given":"Charles","family":"Mazeaud","sequence":"additional","affiliation":[{"name":"Department of Urology Nancy University Hospital  France"},{"name":"Department of Urology, IADI\u2010UL\u2010INSERM (U1254) Nancy University Hospital Nancy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6713-1679","authenticated-orcid":false,"given":"Rose","family":"Khavari","sequence":"additional","affiliation":[{"name":"Department of Urology Houston Methodist Hospital Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melody","family":"Ong","sequence":"additional","affiliation":[{"name":"Department of Urology Houston Methodist Hospital Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandre","family":"Dubois","sequence":"additional","affiliation":[{"name":"Department of Urology University of Rennes Rennes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice","family":"Pitout","sequence":"additional","affiliation":[{"name":"Department of Urology Nancy University Hospital  France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre","family":"Lecoanet","sequence":"additional","affiliation":[{"name":"Department of Urology Nancy University Hospital  France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benoit","family":"Peyronnet","sequence":"additional","affiliation":[{"name":"Department of Urology University of Rennes Rennes France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,26]]},"reference":[{"key":"e_1_2_16_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euf.2021.08.007"},{"key":"e_1_2_16_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20605"},{"key":"e_1_2_16_4_1","doi-asserted-by":"crossref","unstructured":"P. W.Veenboer J. L. H. R.Bosch F. W. A.Van Asbeck andL. M. O.De KortUpper and Lower Urinary Tract Outcomes in Adult Myelomeningocele Patients: A Systematic Review. Moretti C editor. PLoS ONE. 2012 Oct 31;7(10):e48399 https:\/\/doi.org\/10.1371\/journal.pone.0048399.","DOI":"10.1371\/journal.pone.0048399"},{"key":"e_1_2_16_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2018.02.3101"},{"key":"e_1_2_16_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.24576"},{"key":"e_1_2_16_7_1","unstructured":"B.Blok D.Castro\u2010Diaz G.Popolo et al. EAU Guidelines on Neuro\u2010Urology [Internet] 2025 Available from:https:\/\/d56bochluxqnz.cloudfront.net\/documents\/full-guideline\/EAU-Guidelines-on-Neuro-Urology-2025.pdf."},{"key":"e_1_2_16_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23019"},{"key":"e_1_2_16_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-018-2294-7"},{"issue":"1","key":"e_1_2_16_10_1","first-page":"145","article-title":"org). Management options for sphincteric deficiency in adults with neurogenic bladder","volume":"5","author":"Myers J. B.","year":"2016","journal-title":"Translational Andrology and Urology"},{"key":"e_1_2_16_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2025.06.068"},{"key":"e_1_2_16_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41394-022-00524-8"},{"key":"e_1_2_16_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2018.07.036"},{"key":"e_1_2_16_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.purol.2022.02.007"},{"key":"e_1_2_16_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_2_16_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22682"},{"key":"e_1_2_16_17_1","doi-asserted-by":"publisher","DOI":"10.21037\/tau-22-794"},{"key":"e_1_2_16_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-024-05387-2"},{"key":"e_1_2_16_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-012-0247-4"},{"key":"e_1_2_16_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fjurol.2025.102956"},{"key":"e_1_2_16_21_1","doi-asserted-by":"publisher","DOI":"10.5213\/inj.2448372.186"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.70357","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/nau.70357","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.70357","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T09:09:35Z","timestamp":1782464975000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.70357"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,26]]},"references-count":20,"alternative-id":["10.1002\/nau.70357"],"URL":"https:\/\/doi.org\/10.1002\/nau.70357","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"value":"0733-2467","type":"print"},{"value":"1520-6777","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,26]]},"assertion":[{"value":"2026-04-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"nau.70357"}}