Objective• To assess the long-term outcomes obtained after artificial urinary sphincter (AUS) implantation in women with stress urinary incontinence (SUI). Materials and Methods• Women with SUI caused by intrinsic sphincter deficiency who underwent an AUS placement between 1984 and 1992 were included. • Explantation, revision and deactivation rates of the AUS were reported. • Continence, defined as no pad use, was assessed at the end of the follow-up.• Kaplan-Meier survival curves were generated to evaluate the survival rate of the device without explantation or revision. Results• A total of 34 patients were included. The median (interquartile range [IQR]) age of the patients at surgery was 56.5 (50-64.7) years and the median (IQR) follow-up was 17 (12-19) years.• Overall, 26 women (74%) still had their AUS in place at the end of the follow-up, while eight patients underwent an explantation of the device.• The 10-, 15-and 20-year device survival rates without explantation were 80, 80 and 74%, respectively. The 10-, 15-and 20-year survival rates of the device without revision were 79, 65 and 40%, respectively. • After 20 years of follow-up, 11 women still had successful outcomes (61%). Conclusion• The AUS provided satisfactory very long-term functional results among women with SUI caused by intrinsic sphincter deficiency.

The reproducibility of the RNS between the radiologist and the urologist was not very good, especially for some items referring to the location of the tumor, although the major complication rates were significantly associated with the RNS for both observers.

Neurofibromas of the urinary bladder are an exceedingly rare entity and are considered mostly in conjunction with the disease of neurofibromatosis type 1. The fortuitous discovery of vesical plexiform neurofibromas without other stigmata of the disease is presented in a 57-year-old male patient. The course of his condition, modalities of investigation and a non-precedent treatment plan are demonstrated.