A Novel Artificial Urinary Sphincter (VICTO®) for the Management of Postprostatectomy Urinary Incontinence: Description of the Surgical Technique and Preliminary Results from a Multicenter Series

Giammò, Alessandro; Falcone, Marco; Blecher, Gideon; Ammirati, Enrico; Geretto, Paolo; Manassero, Alberto; Bottero, Danilo; Lorusso, Vito; Signorello, Diego; Carone, Roberto

doi:10.1159/000512722

Cited by 16 publications

(7 citation statements)

References 21 publications

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“…Another pre-connected device is the Victo AUS from the same company that created the Argus slings (Promedon SA). This sphincter is also designed to be adjustable, similar to their slings, resulting in a 76.4% dry rate and no explantations after one year in two available studies (45,46). However, these devices have not had FDA clearance but are available in many countries in Latin America, Europe, Asia, and Africa.…”

Section: Ausmentioning

confidence: 99%

A narrative review on surgical treatment options for male stress urinary incontinence

Prebay¹,

Foss²,

Wang³

et al. 2023

Transl Androl Urol

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Background and Objective: Stress urinary incontinence (SUI) can occur due to a variety of etiologies.For male patients specifically, SUI is typically thought of as iatrogenic secondary to intrinsic sphincter deficiency occurring after prostate surgery. Given the noted negative impact that SUI can have on a man's quality of life, multiple treatment options have been developed to improve symptoms. However, there is no "One-Size-Fits-All" approach to management of male SUI. In this narrative review, we sought to highlight some of the various procedures and devices available to treat men with bothersome SUI.Methods: This narrative review gathered primary resources through Medline search, and secondary resources by cross-referencing citations used in articles of interest. We started our investigation by searching for previous systematic reviews on male SUI and treatments for male SUI. Furthermore, we reviewed societal guidelines, such as the American Urological Association and Society of Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction guidelines and the recently published European Urological Association guidelines. Our review focused on English-language full-length manuscripts when available.

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Section: Ausmentioning

confidence: 99%

A narrative review on surgical treatment options for male stress urinary incontinence

Prebay¹,

Foss²,

Wang³

et al. 2023

Transl Androl Urol

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“…Due to its frequent complications in clinical use, such as urethral atrophy and mechanical failure, several such devices have followed, such as the Zephyr ZSI 375, 23,24 FlowSecure, 25,26 Adjustable continence therapy, 27,28 BR-SL-AS-904, 29 Periurethral constrictor, 30,31 and VICTO/VICTO+. 32,33 For electromechanically controllable AUS, the devices in the research phase are currently Tape mechanical occlusive device, 34 German artificial sphincter system, 35,36 and Closed Loop Control AUS. 37 As for AUS with SMAs, a Swiss medical technology company produced an advanced AUS system based on SMA filaments in a recent paper.…”

Section: Of Ausmentioning

confidence: 99%

Magnetically controlled artificial urinary sphincter: An overview from existing devices to future developments

et al. 2023

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Background Urinary incontinence is a common clinical problem in the world today. Artificial urinary sphincter is a good treatment approach for severe urinary incontinence, which is designed to mimic the action of the human urinary sphincter and assist patients to regain urinary function. Methods There are many control methods based on artificial urinary sphincter, such as hydraulic control, electromechanical control, magnetic control, and shape memory alloy control. In this paper, the literature was first searched and documented based on PRISMA search strategy for selected specific subject terms. Then, a comparison of artificial urethral sphincters based on different control methods was conducted, and the research progress of magnetically controlled artificial urethral sphincters was reviewed, and their advantages and disadvantages were summarized. Finally, the design factors for the clinical application of magnetically controlled artificial urinary sphincter are discussed. Results As magnetic control allows for non‐contact force transfer and does not generate heat, it is proposed that magnetic control may be one of the more promising control methods. The design of future magnetically controlled artificial urinary sphincters will need a variety of considerations, including the structural design of the device, manufacturing materials, manufacturing costs, and convenience. In addition, validation of the safety and effectiveness of the device and device management are equally important. Conclusions The design of an ideal magnetically controlled artificial urinary sphincter is of great importance to enhance patient treatment outcomes. However, there are still great challenges to be faced for the clinical application of such devices.

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“…While the retrospective analysis provided promising results, it is essential to recognize the need for further research and long-term follow-up studies to validate and establish the VICTO ® devices' long-term effectiveness and safety. As with any medical device, continued monitoring and evaluation are crucial to identify potential issues and optimize patient outcomes [5].…”

Section: Victomentioning

confidence: 99%

“…Devices such as the Zephyr 375 urinary sphincter, Victo, BR-SL-AS 904, and Conti ® have captured the attention of researchers and clinicians due to their potential to match or even surpass the efficacy of the AMS 800™. Despite their potential, the limited availability of scientific literature and data has hindered a robust comparison and evaluation of their effectiveness [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Urinary Artificial Sphincter in Male Stress Urinary Incontinence: Where Are We Today? A Narrative Review

Ricapito,

Rubino,

Annese

et al. 2023

Uro

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Introduction: Urinary incontinence is a prevalent condition, especially in elderly men, with stress urinary incontinence (SUI) being a common cause after radical prostatectomy. The artificial urinary sphincter (AUS), particularly the AMS 800™ device, has been the gold-standard treatment for moderate-severe male SUI for decades. Despite some technical advancements and alternative devices like ZSI-375, Victo, and BR-SL-AS 904 being introduced, there is limited literature comparing their effectiveness to the AMS 800™. Methods: This literature review compares the AMS 800™ to the newer technologies in the management of SUI. We reviewed the current literature on urinary sphincter implant in male stress incontinence, including AMS 800™, ZSI-375, Victo, and BR-SL-AS 904. Findings: The AMS 800™ is a sophisticated system consisting of an inflatable cuff, a pressure-regulating balloon, and a control pump. Studies show continence rates ranging from 61% to 100% with AMS 800™ implants, with low infection rates and significant improvement in patients’ quality of life. The ZSI-375 sphincter is a unique single-piece cuff without an abdominal reservoir, simplifying implantation. Preliminary data show a social continence rate of 73% at six months, with lower complication rates than the AMS 800™. The VICTO® device offers adjustable pressure and a stress relief mechanism, providing conditional occlusion of the urethra. Early studies report a satisfaction rate of up to 94.2% and a complication rate of 17.6%. BR-SL-AS 904 is a newly proposed urinary sphincter, but due to the limited number of cases and a single study, its efficacy and complication rates remain uncertain. Conclusions: Overall, AMS 800™ remains the gold-standard treatment for SUI after radical prostatectomy. Alternative devices like ZSI-375 and VICTO® show promising results, but longer studies and more data are needed to establish their effectiveness and safety compared with the AMS 800™. Further research and ongoing monitoring are essential to address mechanical issues associated with AUS implants.

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A Novel Artificial Urinary Sphincter (VICTO®) for the Management of Postprostatectomy Urinary Incontinence: Description of the Surgical Technique and Preliminary Results from a Multicenter Series

Cited by 16 publications

References 21 publications

A narrative review on surgical treatment options for male stress urinary incontinence

A narrative review on surgical treatment options for male stress urinary incontinence

Magnetically controlled artificial urinary sphincter: An overview from existing devices to future developments

Urinary Artificial Sphincter in Male Stress Urinary Incontinence: Where Are We Today? A Narrative Review

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