Stress urinary incontinence (SUI)m is one of the most common complications after Radical prostatectomy. The ratio of persistent, bothersome urinary incontinence following  retropubic radical prostatectomy (RRP) is 5 to 10 percent.
The artificial urinary sphincter (AUS) is the most effective long-term treatment for men with severe SUI and is considered the gold standard.
VICTO is a single-unit, pre-connected device. It consists of a control pump, a pressure-regulating balloon (PRB), and a urethral cuff. Due to the adjustable port, the cuff’s pressure can be postoperatively set to the lowest pressure needed to achieve continence, in an outpatient setting. 
The biggest goal of VICTO  is to reduce short-term revisions or explants due to erosion, one of the major complications of the previously available AUS, which is assigned to higher cuff pressures.
It is easier to ensemble but has particularities that may confuse the surgeon who is used to the other AUS available, such as the combined abdominal and peritoneal incisions. 
This tutorial demonstrates the technique for VICTO implantation step-by-step, aiming to spread the knowledge on how to use this novel technology amongst the urological Society.

We present a 77-year-old male with severe stress urinary incontinence following radical RRP,  reporting a urine leakage of 650g in the pad test. The urodynamics showed no detrusor overactivity and presented a Standing Cough Test grade IV.
We demonstrate the VICTO implantation technique step-by-step, presenting tips and tricks for a successful procedure with reduced complications, such as avoiding excessive dissection, correct manipulation of residual air, correct sealing of the system during filling of water, placement of the pump, and activation of the device.

The patient was discharged on the second postoperative day with a deactivated device. After the activation on the forty-fifth postoperative day, the patient regained continence and was well-adapted.

VICTO is a safe and easy option for the treatment of severe SUI, posing as an alternative to the previously available devices for the condition.

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Begg CB, Riedel ER, Bach PB, et al. Variations in morbidity after radical prostatectomy. N Engl J Med 2002; 346:1138.