Long‐term results of artificial urinary sphincter implantation for urinary incontinence due to intrinsic sphincter deficiency in children
Purpose To report long‐term results of artificial urinary sphincter implantation for urinary incontinence due to intrinsic sphincter deficiency in children. Materials and Methods This retrospective monocentric study included all patients who underwent artificial urinary sphincter (AMS 800) implantat...
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| Veröffentlicht in: | Neurourology and urodynamics 2023-01, Vol.42 (1), p.355-365 |
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| creator | Paret, Fanny Leclair, Marc‐David Karam, Georges Rigaud, Jérôme Baron, Maximilien Perrouin‐Verbe, Marie‐Aimée |
| description | Purpose
To report long‐term results of artificial urinary sphincter implantation for urinary incontinence due to intrinsic sphincter deficiency in children.
Materials and Methods
This retrospective monocentric study included all patients who underwent artificial urinary sphincter (AMS 800) implantation before 18 years of age between 1986 and October 2018 for intrinsic sphincter deficiency. The primary outcome was the continence rate at the last follow‐up, defined by the daily use of 0 pads.
The secondary outcome was the overall survival of the device, defined as the absence of any repeated surgery (revision or explantation) during follow‐up.
Reoperation‐free, revision‐free, and explantation‐free device survival rates were estimated using the Kaplan–Meier method.
Results
Thirty‐six patients with a median age of 12 years (interquartile range [IQR]: 10–14) were included (15 females, 21 males). The median follow‐up was 18.7 years (IQR: 9–26). The main underlying condition was spinal dysraphism (n = 24; 67%).
The median time to the first reoperation was 9 years (IQR: 3.75–14.7). At the last follow‐up, survival rates without revision were 84%, 71%, 55%, and 33% at 5, 10, 15, and 20 years, respectively. Survival rates without explantation were 91%, 84%, 80%, and 72% at 5, 10, 15, and 20 years, respectively.
At the last follow‐up, 29 patients had a functional device. The overall continence rate was 88%. All patients who had their device still in place were continent at the last follow‐up.
Conclusion
The artificial urinary sphincter is an effective long‐term treatment for urinary incontinence related to intrinsic sphincter deficiency in children, providing a high rate of continence, even if associated with a high rate of reoperation. |
| doi_str_mv | 10.1002/nau.25106 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2740509946</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2759004443</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2836-a8c06b23495262e5f8811326f8de4c1c65e145ee666514657b6eca461a181b423</originalsourceid><addsrcrecordid>eNp10btKBDEUBuAgiq6XwheQgI0Wo7nPbCmLN1i00XrIZs5oZCZZkwxiZ2_jM_okZl0VEawCyZefnPwI7VJyRAlhx04PR0xSolbQiEpGClWW5SoakZLzgglVbqDNGB8IIRUX43W0wZXgoqJyhF6n3t29v7wlCD0OEIcuRexbrEOyrTVWd3gI1unwjOP83jqTIbb9vNMu6WS9w60PPySfe5esA2cANwPg5PNeyqfRml8BDSyys1pcwebedk0At43WWt1F2Plat9Dt2enN5KKYXp9fTk6mhWEVV4WuDFEzlieRTDGQbVVRyplqqwaEoUZJoEICKKUkFUqWMwVGC0U1rehMML6FDpa58-AfB4ip7m000OWZwA-xZqUgkozHQmW6_4c--CG4_Lqs5JgQIQTP6nCpTPAxBmjrebB9_pCaknrRUJ0bqj8bynbvK3GY9dD8yO9KMjhegifbwfP_SfXVye0y8gMiuZ1R</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2759004443</pqid></control><display><type>article</type><title>Long‐term results of artificial urinary sphincter implantation for urinary incontinence due to intrinsic sphincter deficiency in children</title><source>MEDLINE</source><source>Wiley Journals</source><creator>Paret, Fanny ; Leclair, Marc‐David ; Karam, Georges ; Rigaud, Jérôme ; Baron, Maximilien ; Perrouin‐Verbe, Marie‐Aimée</creator><creatorcontrib>Paret, Fanny ; Leclair, Marc‐David ; Karam, Georges ; Rigaud, Jérôme ; Baron, Maximilien ; Perrouin‐Verbe, Marie‐Aimée</creatorcontrib><description>Purpose
To report long‐term results of artificial urinary sphincter implantation for urinary incontinence due to intrinsic sphincter deficiency in children.
Materials and Methods
This retrospective monocentric study included all patients who underwent artificial urinary sphincter (AMS 800) implantation before 18 years of age between 1986 and October 2018 for intrinsic sphincter deficiency. The primary outcome was the continence rate at the last follow‐up, defined by the daily use of 0 pads.
The secondary outcome was the overall survival of the device, defined as the absence of any repeated surgery (revision or explantation) during follow‐up.
Reoperation‐free, revision‐free, and explantation‐free device survival rates were estimated using the Kaplan–Meier method.
Results
Thirty‐six patients with a median age of 12 years (interquartile range [IQR]: 10–14) were included (15 females, 21 males). The median follow‐up was 18.7 years (IQR: 9–26). The main underlying condition was spinal dysraphism (n = 24; 67%).
The median time to the first reoperation was 9 years (IQR: 3.75–14.7). At the last follow‐up, survival rates without revision were 84%, 71%, 55%, and 33% at 5, 10, 15, and 20 years, respectively. Survival rates without explantation were 91%, 84%, 80%, and 72% at 5, 10, 15, and 20 years, respectively.
At the last follow‐up, 29 patients had a functional device. The overall continence rate was 88%. All patients who had their device still in place were continent at the last follow‐up.
Conclusion
The artificial urinary sphincter is an effective long‐term treatment for urinary incontinence related to intrinsic sphincter deficiency in children, providing a high rate of continence, even if associated with a high rate of reoperation.</description><identifier>ISSN: 0733-2467</identifier><identifier>EISSN: 1520-6777</identifier><identifier>DOI: 10.1002/nau.25106</identifier><identifier>PMID: 36434815</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>artificial urinary sphincter ; Child ; Children ; Congenital defects ; Female ; Humans ; intrinsic sphincter deficiency ; Male ; Neural tube defects ; neurogenic bladder ; Patients ; Reoperation ; Retrospective Studies ; Sphincter ; Spinal cord ; Survival ; Treatment Outcome ; Urinary incontinence ; Urinary Incontinence - etiology ; Urinary Incontinence - surgery ; Urinary Incontinence, Stress - surgery ; Urinary Sphincter, Artificial</subject><ispartof>Neurourology and urodynamics, 2023-01, Vol.42 (1), p.355-365</ispartof><rights>2022 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2836-a8c06b23495262e5f8811326f8de4c1c65e145ee666514657b6eca461a181b423</citedby><cites>FETCH-LOGICAL-c2836-a8c06b23495262e5f8811326f8de4c1c65e145ee666514657b6eca461a181b423</cites><orcidid>0000-0001-8496-9203 ; 0000-0002-4407-2853</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fnau.25106$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fnau.25106$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36434815$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Paret, Fanny</creatorcontrib><creatorcontrib>Leclair, Marc‐David</creatorcontrib><creatorcontrib>Karam, Georges</creatorcontrib><creatorcontrib>Rigaud, Jérôme</creatorcontrib><creatorcontrib>Baron, Maximilien</creatorcontrib><creatorcontrib>Perrouin‐Verbe, Marie‐Aimée</creatorcontrib><title>Long‐term results of artificial urinary sphincter implantation for urinary incontinence due to intrinsic sphincter deficiency in children</title><title>Neurourology and urodynamics</title><addtitle>Neurourol Urodyn</addtitle><description>Purpose
To report long‐term results of artificial urinary sphincter implantation for urinary incontinence due to intrinsic sphincter deficiency in children.
Materials and Methods
This retrospective monocentric study included all patients who underwent artificial urinary sphincter (AMS 800) implantation before 18 years of age between 1986 and October 2018 for intrinsic sphincter deficiency. The primary outcome was the continence rate at the last follow‐up, defined by the daily use of 0 pads.
The secondary outcome was the overall survival of the device, defined as the absence of any repeated surgery (revision or explantation) during follow‐up.
Reoperation‐free, revision‐free, and explantation‐free device survival rates were estimated using the Kaplan–Meier method.
Results
Thirty‐six patients with a median age of 12 years (interquartile range [IQR]: 10–14) were included (15 females, 21 males). The median follow‐up was 18.7 years (IQR: 9–26). The main underlying condition was spinal dysraphism (n = 24; 67%).
The median time to the first reoperation was 9 years (IQR: 3.75–14.7). At the last follow‐up, survival rates without revision were 84%, 71%, 55%, and 33% at 5, 10, 15, and 20 years, respectively. Survival rates without explantation were 91%, 84%, 80%, and 72% at 5, 10, 15, and 20 years, respectively.
At the last follow‐up, 29 patients had a functional device. The overall continence rate was 88%. All patients who had their device still in place were continent at the last follow‐up.
Conclusion
The artificial urinary sphincter is an effective long‐term treatment for urinary incontinence related to intrinsic sphincter deficiency in children, providing a high rate of continence, even if associated with a high rate of reoperation.</description><subject>artificial urinary sphincter</subject><subject>Child</subject><subject>Children</subject><subject>Congenital defects</subject><subject>Female</subject><subject>Humans</subject><subject>intrinsic sphincter deficiency</subject><subject>Male</subject><subject>Neural tube defects</subject><subject>neurogenic bladder</subject><subject>Patients</subject><subject>Reoperation</subject><subject>Retrospective Studies</subject><subject>Sphincter</subject><subject>Spinal cord</subject><subject>Survival</subject><subject>Treatment Outcome</subject><subject>Urinary incontinence</subject><subject>Urinary Incontinence - etiology</subject><subject>Urinary Incontinence - surgery</subject><subject>Urinary Incontinence, Stress - surgery</subject><subject>Urinary Sphincter, Artificial</subject><issn>0733-2467</issn><issn>1520-6777</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10btKBDEUBuAgiq6XwheQgI0Wo7nPbCmLN1i00XrIZs5oZCZZkwxiZ2_jM_okZl0VEawCyZefnPwI7VJyRAlhx04PR0xSolbQiEpGClWW5SoakZLzgglVbqDNGB8IIRUX43W0wZXgoqJyhF6n3t29v7wlCD0OEIcuRexbrEOyrTVWd3gI1unwjOP83jqTIbb9vNMu6WS9w60PPySfe5esA2cANwPg5PNeyqfRml8BDSyys1pcwebedk0At43WWt1F2Plat9Dt2enN5KKYXp9fTk6mhWEVV4WuDFEzlieRTDGQbVVRyplqqwaEoUZJoEICKKUkFUqWMwVGC0U1rehMML6FDpa58-AfB4ip7m000OWZwA-xZqUgkozHQmW6_4c--CG4_Lqs5JgQIQTP6nCpTPAxBmjrebB9_pCaknrRUJ0bqj8bynbvK3GY9dD8yO9KMjhegifbwfP_SfXVye0y8gMiuZ1R</recordid><startdate>202301</startdate><enddate>202301</enddate><creator>Paret, Fanny</creator><creator>Leclair, Marc‐David</creator><creator>Karam, Georges</creator><creator>Rigaud, Jérôme</creator><creator>Baron, Maximilien</creator><creator>Perrouin‐Verbe, Marie‐Aimée</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8496-9203</orcidid><orcidid>https://orcid.org/0000-0002-4407-2853</orcidid></search><sort><creationdate>202301</creationdate><title>Long‐term results of artificial urinary sphincter implantation for urinary incontinence due to intrinsic sphincter deficiency in children</title><author>Paret, Fanny ; Leclair, Marc‐David ; Karam, Georges ; Rigaud, Jérôme ; Baron, Maximilien ; Perrouin‐Verbe, Marie‐Aimée</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2836-a8c06b23495262e5f8811326f8de4c1c65e145ee666514657b6eca461a181b423</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>artificial urinary sphincter</topic><topic>Child</topic><topic>Children</topic><topic>Congenital defects</topic><topic>Female</topic><topic>Humans</topic><topic>intrinsic sphincter deficiency</topic><topic>Male</topic><topic>Neural tube defects</topic><topic>neurogenic bladder</topic><topic>Patients</topic><topic>Reoperation</topic><topic>Retrospective Studies</topic><topic>Sphincter</topic><topic>Spinal cord</topic><topic>Survival</topic><topic>Treatment Outcome</topic><topic>Urinary incontinence</topic><topic>Urinary Incontinence - etiology</topic><topic>Urinary Incontinence - surgery</topic><topic>Urinary Incontinence, Stress - surgery</topic><topic>Urinary Sphincter, Artificial</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Paret, Fanny</creatorcontrib><creatorcontrib>Leclair, Marc‐David</creatorcontrib><creatorcontrib>Karam, Georges</creatorcontrib><creatorcontrib>Rigaud, Jérôme</creatorcontrib><creatorcontrib>Baron, Maximilien</creatorcontrib><creatorcontrib>Perrouin‐Verbe, Marie‐Aimée</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Neurourology and urodynamics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Paret, Fanny</au><au>Leclair, Marc‐David</au><au>Karam, Georges</au><au>Rigaud, Jérôme</au><au>Baron, Maximilien</au><au>Perrouin‐Verbe, Marie‐Aimée</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long‐term results of artificial urinary sphincter implantation for urinary incontinence due to intrinsic sphincter deficiency in children</atitle><jtitle>Neurourology and urodynamics</jtitle><addtitle>Neurourol Urodyn</addtitle><date>2023-01</date><risdate>2023</risdate><volume>42</volume><issue>1</issue><spage>355</spage><epage>365</epage><pages>355-365</pages><issn>0733-2467</issn><eissn>1520-6777</eissn><abstract>Purpose
To report long‐term results of artificial urinary sphincter implantation for urinary incontinence due to intrinsic sphincter deficiency in children.
Materials and Methods
This retrospective monocentric study included all patients who underwent artificial urinary sphincter (AMS 800) implantation before 18 years of age between 1986 and October 2018 for intrinsic sphincter deficiency. The primary outcome was the continence rate at the last follow‐up, defined by the daily use of 0 pads.
The secondary outcome was the overall survival of the device, defined as the absence of any repeated surgery (revision or explantation) during follow‐up.
Reoperation‐free, revision‐free, and explantation‐free device survival rates were estimated using the Kaplan–Meier method.
Results
Thirty‐six patients with a median age of 12 years (interquartile range [IQR]: 10–14) were included (15 females, 21 males). The median follow‐up was 18.7 years (IQR: 9–26). The main underlying condition was spinal dysraphism (n = 24; 67%).
The median time to the first reoperation was 9 years (IQR: 3.75–14.7). At the last follow‐up, survival rates without revision were 84%, 71%, 55%, and 33% at 5, 10, 15, and 20 years, respectively. Survival rates without explantation were 91%, 84%, 80%, and 72% at 5, 10, 15, and 20 years, respectively.
At the last follow‐up, 29 patients had a functional device. The overall continence rate was 88%. All patients who had their device still in place were continent at the last follow‐up.
Conclusion
The artificial urinary sphincter is an effective long‐term treatment for urinary incontinence related to intrinsic sphincter deficiency in children, providing a high rate of continence, even if associated with a high rate of reoperation.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>36434815</pmid><doi>10.1002/nau.25106</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0001-8496-9203</orcidid><orcidid>https://orcid.org/0000-0002-4407-2853</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0733-2467 |
| ispartof | Neurourology and urodynamics, 2023-01, Vol.42 (1), p.355-365 |
| issn | 0733-2467 1520-6777 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2740509946 |
| source | MEDLINE; Wiley Journals |
| subjects | artificial urinary sphincter Child Children Congenital defects Female Humans intrinsic sphincter deficiency Male Neural tube defects neurogenic bladder Patients Reoperation Retrospective Studies Sphincter Spinal cord Survival Treatment Outcome Urinary incontinence Urinary Incontinence - etiology Urinary Incontinence - surgery Urinary Incontinence, Stress - surgery Urinary Sphincter, Artificial |
| title | Long‐term results of artificial urinary sphincter implantation for urinary incontinence due to intrinsic sphincter deficiency in children |
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