Robotic Assisted Implantation of the AMS-800 Urinary Control System in women

Women with Stress Urinary Incontinence (SUI) secondary to Intrinsic Sphincter Deficiency (ISD) may benefit form implantation of an AMS-800 urinary control system.

Robot assisted laparoscopic placement of an artificial sphincter was first described by Prof. Fournier in 2014 and since then many groups have adopted this surgical approach. There are two principal approaches to the dissection of the bladder neck to place the cuff and both techniques will be described.

The course will cover indications for surgery, counselling of women prior to surgery, current outcome data, the surgical technique and then allow for practice in cadaver models under the supervision of experienced faculty.

To see a video of the procedure by Dr Peyronnet: please follow this link https://vimeo.com/344751283

Fournier G, Callerot P, Thoulouzan M, Valeri A, Perrouin-Verbe MA. Robotic-assisted laparoscopic implantation of artificial urinary sphincter in women with intrinsic sphincter deficiency incontinence: initial results. Urology. 2014 Nov;84(5):1094-1098. DOI: 10.1016/j.urology.2014.07.013.

BenoitPeyronnet GrégoireCapon OlivierBelasc AndreaManunta ClémentAllenet JulietteHascoet JehanneCalves MichelBelas PierreCallerot GrégoireRobert AurélienDescazeaud GeorgesFournier Robot-assisted AMS-800 Artificial Urinary Sphincter Bladder Neck Implantation in Female Patients with Stress Urinary Incontinence European Urology Volume 75, Issue 1, January 2019, Pages 169-175

Gondran‐Tellier, B., Boissier, R., Baboudjian, M., Rouy, M., Gaillet, S., Lechevallier, E., Michel, F. and Karsenty, G. (2019), Robot‐assisted implantation of an artificial urinary sphincter, the AMS‐800, via a posterior approach to the bladder neck in women with intrinsic sphincter deficiency. BJU Int, 124: 1077-1080. doi:10.1111/bju.14884

Surgeons who are already trained on the da Vinci robot and their team mebers who are also experienced in the implantation of the AMS-800 urinary control system in men, and the management of SUI in women.

1. Costa P, Poinas G, Ben Naoum K, et al. Long-term results of artificial urinary sphincter for women with type III stress urinary incontinence. Eur Urol. 2013;63(4):753-758.
2. Cour F, Le Normand L, Lapray JF, et al. Intrinsic sphincter deficiency and female urinary incontinence. Prog Urol. 2015;25(8):437-454.
3. Tricard, T., Jochum, F., Bergerat, S., Munier, P., Schroeder, A., & Saussine, C. (2019). Outcomes of open artificial urinary sphincter in women with stress urinary incontinence: long-term follow up. Therapeutic Advances in Urology. https://doi.org/10.1177/1756287219874676
4. AMS‐800 Artificial urinary sphincter in female patients with stress urinary incontinence: A systematic review Benoit Peyronnet Eabhann O'Connor Rose Khavari Grégoire Capon Andrea Manunta Marta Allue Juliette Hascoet Victor W. Nitti Xavier Gamé Jason Gilleran Luis Castro‐Sader Jean‐Nicolas Cornu David Waltregny Sascha Ahyai Eric Chung Daniel S. Elliott Georges Fournier Benjamin M. Brucker First published: 09 October 2018 https://doi.org/10.1002/nau.23833
5. Phé, V., Benadiba, S., Rouprêt, M., Granger, B., Richard, F. and Chartier‐Kastler, E. (2014), Long‐term functional outcomes of AUS in women with SUI. BJU Int, 113: 961-967. doi:10.1111/bju.12360
6. Callerot P, Perrouin-Verbe MA, Thoulouzan M, Valeri A, Fournier G. [Robotic-assisted laparoscopic implantation of artificial urinary sphincter AMS 800® in woman: Single center experience]. Progres en Urologie : Journal de L'association Francaise D'urologie et de la Societe Francaise D'urologie. 2019 Mar;29(4):246-252. DOI: 10.1016/j.purol.2018.12.007.

Day 1:

12.00 Arrivals to ORSI and lunch

13.00 Faculty led discussion - "The role of the AMS-800 Urinary control system in treating SUI in women"

14.30 Why perform robot assisted surgery?

15.15 Break

15.45 Procedure steps

16.15 Review full procedural video, as-live

17.30 Return to Hotel

19.30 Dinner

Day 2:

08.15 Transfer to ORSI

09.00 Robotic Implantation of AMS-800 Urinary Control System Cadaver Lab

12.30 Lunch and closing discussions - "Plans for further training and potential adoption of the technique"

13.15 Departures