{
  "abstract": "BACKGROUND: Achieving continence in patients with neurogenic bladder is a difficult goal especially when stress urinary incontinence (SUI) due to intrinsic sphincter deficiency is involved. Two techniques are commonly used in that setting, but they have never been directly compared: the artificial urinary sphincter (AUS) and the fascial pubovaginal sling (PVS). The present study aims to compare the outcomes of AUS and PVS in female neuropathic patients. METHODS: This retrospective international multicenter study was conducted from 2014 to 2023. We included all women with a past medical history of neurogenic bladder who underwent AUS or a PVS insertion (cadaveric or fascia lata) at three centers. The primary endpoint was the outcomes as assessed by the patient global impression of improvement (PGII) at 3 months and at the last follow-up. RESULTS: Thirty-five patients were included: 16 with AUS and 19 with PVS. The PVS patients had fewer previous anti-incontinence procedures (10.5% vs. 43.8%; p = 0.02). The maximum cystometric capacity was significantly higher in the AUS group (364.1 vs. 252.8 mL; p = 0.03). All perioperative outcomes were similar in both groups with only two major postoperative complications in each group (12.5% vs. 10.5%; p = 0.99). Many functional outcomes favored AUS, but with no statistically significant difference, except for PGII = very much improved at 3 months (68.8% vs. 31.6%; p = 0.04). CONCLUSION: AUS and PVS are two procedures yielding satisfactory outcomes in the female neurogenic SUI population, with similar morbidity. The functional outcomes may be more favorable with AUS.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": null,
  "arxiv": null,
  "author_total": 8,
  "authors": [
    {
      "name": "Alicia Blondeau"
    },
    {
      "name": "Charles Mazeaud"
    },
    {
      "name": "Rose Khavari"
    },
    {
      "name": "Melody Ong"
    },
    {
      "name": "Alexandre Dubois"
    },
    {
      "name": "Alice Pitout"
    },
    {
      "name": "Pierre Lecoanet"
    },
    {
      "name": "Benoit Peyronnet"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/fzwkqp0ccy9mx.bib",
  "cited_by": 0,
  "doi": "10.1002/nau.70357",
  "fulltext_url": null,
  "id": "fzwkqp0ccy9mx",
  "issns": [
    "0733-2467",
    "1520-6777"
  ],
  "landing_url": "https://hal.science/hal-05683827v1",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "hal",
      "0.sdv"
    ],
    [
      "openalex",
      "2745|Pelvic floor disorders treatments"
    ]
  ],
  "openalex": "W7166034701",
  "pdf_url": "https://hal.science/hal-05683827/document",
  "pmcid": null,
  "pmid": "42359558",
  "published": "2026-06-26",
  "publisher": "Wiley",
  "ris": "https://research.draconitic.com/paper/fzwkqp0ccy9mx.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:17:58Z",
      "native_id": "hal-05683827",
      "source": "hal",
      "url": "https://hal.science/hal-05683827v1"
    }
  ],
  "subjects": [
    {
      "field": "biology",
      "origin": "hal:0.sdv",
      "subfield": "general"
    }
  ],
  "title": "Fascial Mild Urethral Sling or Artificial Urinary Sphincter in the Neurological Women Population, a Multicenter Study",
  "title_text": "Fascial Mild Urethral Sling or Artificial Urinary Sphincter in the Neurological Women Population, a Multicenter Study",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:17:58Z",
  "url": "https://research.draconitic.com/paper/fzwkqp0ccy9mx",
  "venue": "Neurourology and Urodynamics",
  "versions": []
}