Neurogenic stress urinary incontinence (N-SUI) is a condition with serious impact on the quality of life. There are several treatment modalities of which the artificial urinary sphincter (AUS) stands out as the most suitable technique for addressing sphincter insufficiency. In this article, the purpose is to describe practical considerations, outcomes, and complications of the artificial urinary sphincter in neurological sphincter deficiency in both males and females.
A narrative review of the current literature.
The outcomes of AUS are reasonably good in patients with NLUTD, the surgical technique is discussed as well as the limitations and special considerations in this complex and heterogeneous patient population.
The available evidence suggests that its efficacy and functional durability may be lower in patients with neurogenic lower urinary tract dysfunction (NLUTD) compared to those without neurological deficits. However, studies have shown that AUS can still provide effective and safe continence outcomes in both male and female patients, with long-term device survival rates ranging from several years to over a decade.
World journal of urology. 2024 Feb 03*** epublish ***
Desiree Vrijens, Harry Kendall, François Hervé
Departement of Urology, Maastricht University Medical Centre, Maastricht, Netherlands. ., Departement of Urology, Maastricht University Medical Centre, Maastricht, Netherlands., Departement of Urology, University Hospital of Ghent, Ghent, Belgium.