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New research · Surgery
World journal of urology · 1d
Cohort studyWorld journal of urology · 2026

Robot-assisted artificial urinary sphincter implantation via a posterior vesicovaginal approach for female stress urinary incontinence due to intrinsic sphincter deficiency: mid-term outcomes from a prospective single-centre study.

David Carracedo, Pietro Moscatiello, Tamara Jerez … Miguel A Sánchez
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SurgeryCohort study

Robot-assisted artificial urinary sphincter implantation achieves high complete continence rates.

Robot-assisted artificial urinary sphincter implantation via a posterior vesicovaginal approach for female stress urinary incontinence due to intrinsic sphincter deficiency: mid-term outcomes from a prospective single-centre study.

David Carracedo et al. · World journal of urology · 2026
Purpose

To evaluate perioperative, functional, and safety outcomes of robot-assisted artificial urinary sphincter (AUS) implantation via a posterior vesicovaginal approach in women with stress urinary incontinence (SUI) secondary to intrinsic sphincter deficiency (ISD).

Methods

A prospective single-centre study included consecutive women undergoing robot-assisted AUS implantation between September 2018 and March 2026.

Results
patients had no urine leakage after receiving the implanted device
More results

Significant improvements were observed in ICIQ-SF score (mean reduction 16.5 points; p < 0.001) and pad weight (mean reduction 670.5 g; p < 0.001).

Mean operative time was 171.6 min and hospital stay 2.4 days.

Intraoperative bladder injury occurred in 37.9% but was managed without sequelae.

Revision-free survival was 93.1%.

“
Conclusion

Robot-assisted AUS implantation via a posterior vesicovaginal approach is a safe and effective option for women with SUI due to ISD, providing high continence rates, low postoperative complication and revision rates, and durable mid-term outcomes.

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