Robot-assisted Implantation of an Artificial Urinary Sphincter for Females with Stress Urinary Incontinence: State of the Art and Future Perspectives.

Abstract

While artificial urinary sphincter (AUS) represents the gold standard for treatment for male stress urinary incontinence (SUI), this same tool has not yet gained equivalent popularity for the same condition in female patients. This may be related to the apparent technical difficulties and perceived risk of complications traditionally related to the open approach. Use of robotic surgery could drive a paradigm shift in female SUI treatment thanks to better ergonomics and visibility. Results reported in the literature show that robot-assisted AUS placement is feasible, safe, and effective for female SUI. Comparative studies suggest superiority to the open approach in terms of intraoperative complications and functional outcomes. Novel technological advances may further facilitate AUS implantation and contribute to diffusion of this technique. PATIENT SUMMARY: This mini-review summarises research results for robot-assisted implantation of artificial urinary sphincter in female patients with stress incontinence. This approach is safe and effective and seems to provide advantages in comparison to traditional open surgery.