{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T19:34:20Z","timestamp":1761766460180,"version":"build-2065373602"},"reference-count":15,"publisher":"Wiley","issue":"5A","license":[{"start":{"date-parts":[[2019,2,1]],"date-time":"2019-02-01T00:00:00Z","timestamp":1548979200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2019,5]]},"abstract":"\n Objectives<\/jats:title>\n \n To update the outcomes and analyse the safety of laparoscopic implantation of an artificial urinary sphincter (\n AUS<\/jats:styled-content>\n ) in women with stress urinary incontinence (\n SUI<\/jats:styled-content>\n ) as a result of intrinsic sphincter deficiency (\n ISD<\/jats:styled-content>\n ).\n <\/jats:p>\n <\/jats:sec>\n \n Patients and Methods<\/jats:title>\n \n Seventy\u2010four women with\n SUI<\/jats:styled-content>\n caused by\n ISD<\/jats:styled-content>\n underwent laparoscopic\n AUS<\/jats:styled-content>\n implantation between 2005 and 2018 in our centre. Urodynamic assessment was required. The\n AUS<\/jats:styled-content>\n was implanted using a transperitoneal laparoscopic approach to the Retzius space. The cuff was placed around the bladder neck between the peri\u2010urethral fascia and the vagina. Postoperative functional outcomes were defined as success (total continence), improvement (>50% decrease in number of leakages or in number of pads used), or failure (<50% improvement, persistent or increased leaking). Data on peri\u2010operative and long\u2010term complications were also collected.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The mean \u00b1\n sd<\/jats:sc>\n operating time was 119.7 \u00b1 48.9\u00a0min, with no conversion to laparotomy. With a mean \u00b1\n sd<\/jats:sc>\n (range) follow\u2010up of 44.5 \u00b1 40.5\u00a0 (1\u2013149) months, 78.3% of the women were totally continent and 18.6% reported improvement. One vaginal and one urethral perforation were the only intra\u2010operative complications, both solved during surgery. Late complications included recurrent urinary tract infection (5.4%), acute urinary retention (6.8%), urethral (4%) and vaginal erosion (2.7%), and urgency urinary incontinence (2.7%). Reimplantation of\n AUS<\/jats:styled-content>\n was performed in 13.5% of the women as a result of mechanical failure (\n n =<\/jats:italic>\n 9) and erosion (\n n =<\/jats:italic>\n 1). Permanent removal was performed in 10.8%.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n To our knowledge, this is the largest series with the longest follow\u2010up of women with urinary incontinence treated with laparoscopic\n AUS<\/jats:styled-content>\n implantation, demonstrating its safety, feasibility and effectiveness, and showing a very positive impact on the quality of life of the women.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/bju.14653","type":"journal-article","created":{"date-parts":[[2018,12,11]],"date-time":"2018-12-11T09:21:01Z","timestamp":1544520061000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Laparoscopic artificial urinary sphincter implantation in women with stress urinary incontinence: update on 13\u00a0years\u2019 experience in a single centre"],"prefix":"10.1111","volume":"123","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7301-8701","authenticated-orcid":false,"given":"Damiano","family":"Bracchitta","sequence":"first","affiliation":[{"name":"Department of Urology Clinique du Pr\u00e9 Technop\u00f4le Universit\u00e9 Le Mans France"},{"name":"Division of Urology Department of Translational Research University of Pisa Pisa Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro","family":"Costa","sequence":"additional","affiliation":[{"name":"Department of Urology Clinique du Pr\u00e9 Technop\u00f4le Universit\u00e9 Le Mans France"},{"name":"Centro Hospitalar de Vila Nova de Gaia\/Espinho Angers Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shahed","family":"Borojeni","sequence":"additional","affiliation":[{"name":"Department of Urology Clinique du Pr\u00e9 Technop\u00f4le Universit\u00e9 Le Mans 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