ABSTRACT
OBJECTIVES: We evaluated retrospectively, the long-term outcome of patients with post-prostatectomy urinary incontinence (PPUI) after placement of the Periurethral Constrictor (PUC). MATERIALS AND METHODS: Fifty-six men with severe PPUI were studied, with a mean age of 68.5 years old. Fifty-one men had PPUI due to radical surgery having the device placed around the bulbous urethra, and five individuals with benign prostatic hypertrophy (BPH) had placement around the bladder neck. The mean follow-up was 82.2 months. RESULTS: Twenty-two patients (39.28 percent) became continent (0 to 1 pad a day) and 34 (60.72 percent) were incontinent. Complications were as follows: urethral erosion in 15 (26.78 percent); mechanical malfunction in 2 (3.5 percent); infection in 2 (3.5 percent); urinary fistula in 1 (1.7 percent); Urinary tract infection1 (1.7 percent). Twenty-three patients needed to have the device removed (41.07 percent). Success rate (continent me) was 30.35 percent. CONCLUSION: In the present series the PUC was not effective for the treatment of severe PPUI in the long-term follow-up.
Subject(s)
Aged , Aged, 80 and over , Humans , Male , Middle Aged , Prostatectomy/adverse effects , Urinary Sphincter, Artificial , Urinary Incontinence/therapy , Constriction , Device Removal , Follow-Up Studies , Postoperative Complications , Retrospective Studies , Treatment Outcome , Urinary Sphincter, Artificial/adverse effectsABSTRACT
Depois de breve revisäo da literatura, apresenta-se sua abordagem do problema da cirurgia da hipospadia. Däo ênfase a procedimentos de um só estágio e propöe-se uma forma de diversäo urinária continente, para reduzir a morbidade e o tempo de permanência no hospital dos pacientes portadores deste mal