A systematic review and meta-analysis of clinical and functional outcomes of artificial urinary sphincter implantation in women with stress urinary incontinence.
Arab J Urol
; 18(2): 78-87, 2020 Feb 04.
Article
en En
| MEDLINE
| ID: mdl-33029411
ABSTRACT
OBJECTIVE:
To evaluate the complications and results of artificial urinary sphincter (AUS) implantation in women with stress urinary incontinence (SUI).METHODS:
A selective database search using keywords (1990-2019) was conducted to validate the effectiveness of the AUS in women. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were utilised. The meta-analysis included 964 women (15 studies) with persistent SUI. The Newcastle-Ottawa score was used to determine the quality of the evidence in each study. The success rate and complications associated with the AUS were analysed.RESULTS:
Meta-analysis of the published studies showed that complete continence was achieved at a mean rate of 79.6% (95% confidence interval [CI] 72.2-86.6%) and a significant improvement was achieved in 15% (95% CI 10-25%). The mean (range) follow-up was 22 (6-204) months. The mean number of patients per study was 68. The mean (range) explantation rate was 13 (0-44)%. Vaginal erosion occurred in a mean (range) of 9 (0-27)% and mechanical complications in 13 (0-47)%. Infections accounted for 7% of the complications. The total mean (range) revision rate of the implanted AUS was 15.42 (0-44)%. The mean (range) size of the cuff used was 6.7 (5-10) cm.CONCLUSION:
Our present analysis showed that implantation of an AUS in women with severe UI is an effective treatment option after failure of first-line therapy. However, the currently available study population is too small to draw firm conclusions. ABBREVIATIONS AMS American Medical Systems; AUS artificial urinary sphincter; EAU European Association of Urology; LE Level of Evidence; PRISMA Preferred Reporting Items for Systematic Reviews and Meta-Analyses; QoL quality of life; SHELTER Services and Health for Elderly in Long TERm care (study); SUI (stress) urinary incontinence.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Tipo de estudio:
Guideline
/
Systematic_reviews
Aspecto:
Patient_preference
Idioma:
En
Revista:
Arab J Urol
Año:
2020
Tipo del documento:
Article
País de afiliación:
Alemania