Transobturator male sling TOMS for the treatment of stress post-prostatectomy incontinence, initial experience and results with one year's experience
Int. braz. j. urol
;
35(6): 706-715, Nov.-Dec. 2009. ilus
Article
Dans Anglais
| LILACS
| ID: lil-536803
ABSTRACT
Purpose:
Post-prostatectomy incontinence remains a problem, even in minor or moderate degrees. In order to minimize surgical morbidity and costs, sling procedures have been proposed. The authors have developed a new transobturator male sling procedure and report their results after one-year experience. Materials andmethods:
A prospective multicenter study was conducted in 50 patients with minor or moderate post-prostatectomy incontinence. Evaluation of TOMS two arms bulbar sling was based on clinical form assessment, The International Consultation on Incontinence Questionnaire (ICIQ) and short-form (SF) 36 questionnaire pre and postoperatively and at 3, 6, 9 and 12 months.Results:
The surgical procedure was considered easy to perform and no post-surgery complication was reported except for one retention. The median number of pads per day decreased significantly from 2 pads before surgery (95 percent CI 2 - 3) to 1 during the follow-up period (95 percent CI 0 - 2 at 360 days), and at 3 months patients using none or one pad per day were 30 percent and 32 percent respectively. The SF 36 continence and quality of life score improved from a median of 100 (95 percent CI 83 - 133) to 300 (95 percent CI 167 - 375), and the median ICIQ incontinence and quality of life score decreased from 15 (95 percent CI 14 - 16) to 8 (95 percent CI 5 - 12) one year after surgery.Conclusion:
The transobturator perineal male sling TOMS is an attractive simple sling technique for moderate or minor post-prostatectomy stress incontinence and offers an improvement in the quality of life.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Prostatectomie
/
Incontinence urinaire d'effort
/
Bandelettes sous-urétrales
Type d'étude:
Essai clinique contrôlé
/
Etude d'étiologie
/
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Adulte très âgé
/
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Int. braz. j. urol
Thème du journal:
Urologie
Année:
2009
Type:
Article
Pays d'affiliation:
France
Institution/Pays d'affiliation:
Nimes University Hospital/FR
/
Rouen University Hospital/FR
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