Implantation technique of the artificial urinary sphincter flow secure™ in the bulbar urethra

Objectives: Artificial urinary sphincter "FlowSecure×" is a prosthesis designed for stress urinary incontinence that has achieved excellent results. Although implantation is easy, some urologist used to other prosthesis may find difficult the change to this new technique. This article shows how easily and quickly this new sphincter can be implanted and discuss the differences with the artificial sphincter AMS-800×. METHODS: Following the case of a patient who was implanted artificial urinary sphincter "FlowSecure×" in our center we describe with pictures the technique of implantation and give some advices to make this quicker and easier. RESULTS: Surgical time was 90 minutes. Patient presented uneventful recovery, urethral catheter was removed 24 hours after surgery and discharge was done 72 hours after surgery. Three months after implantation patient describes complete resolution of his stress urinary incontinence. CONCLUSIONS: Artificial urinary sphincter "FlowSecu- re×" is easy and quick to implant, and as its use is extended we would compare if results are better than those of the AMS-800× model.