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A transobturator adjustable system for male incontinence: 30-month follow-up of a multicenter study
Romano, Salomon Victor; Huebner, Wilhelm; Rocha, Flavio Trigo; Vaz, Fernando Pires; Muller, Valter; Nakamura, Fabio.
  • Romano, Salomon Victor; Hospital Durand - Urologia. Department of Urology. Buenos Aires. AR
  • Huebner, Wilhelm; Hospital Durand - Urologia. Department of Urology. Buenos Aires. AR
  • Rocha, Flavio Trigo; Hospital Durand - Urologia. Department of Urology. Buenos Aires. AR
  • Vaz, Fernando Pires; Hospital Durand - Urologia. Department of Urology. Buenos Aires. AR
  • Muller, Valter; Hospital Durand - Urologia. Department of Urology. Buenos Aires. AR
  • Nakamura, Fabio; Hospital Durand - Urologia. Department of Urology. Buenos Aires. AR
Int. braz. j. urol ; 40(6): 781-789, Nov-Dec/2014. tab, graf
Article Dans Anglais | LILACS | ID: lil-735982
ABSTRACT
Purpose To report long-term results of the Argus T adjustable system for treatment of post-prostatectomy urinary incontinence (PPI). Materials and Methods From October 2007 to August 2008, 37 patients with PPI were included in a prospective, single-arm, multicenter trial of treatment with the Argus T adjustable system (Promedon, Argentina). Preoperative evaluation included urine culture, urethrocystoscopy, urodynamic testing, 24-h pad weight test (PWT) and quality of life questionnaires. Patients were stratified according to baseline degree of incontinence (mild–moderate or severe). Postoperative evaluation included immediate PWT, quality of life questionnaires and daily use of pads at 1, 12 and 30 months. Results and Conclusions One patient was lost to follow-up. At the 30-month follow-up, 24/31 patients (77%) were dry, 3/31 (10%) improved and 4/31 (13%) were failures. In particular, in the mild-moderate group, 8/8 (100%) patients were dry. In the severe group, 20/28 patients (71%) were dry, 3/28 (11%) improved and 5/28 (18%) were failures. Median visual analogue scale (VAS) scores dropped from 9 (4-10) to 0.5 (0-10) and International Consultation on Incontinence Questionnaire Short Form scores from (ICIQ-SF) 19 (12–21) to 1 (0–10). Retrograde leak point pressure increased from 18 (5–29) to 35 (22–45) cm H2O after intraoperative adjustment. Complications included immediate postoperative infection in 2/36 patients (6%) and transient inguinal and/or perineal pain in 22/36 patients (61%). Argus T has a long-term high success rate (86% cure + improvement at the 30-month follow-up). Good outcomes were achieved even in severe incontinence cases and maintained for over 30 months. .
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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 / Aged80 / Humains / Mâle langue: Anglais Texte intégral: Int. braz. j. urol Thème du journal: Urologie Année: 2014 Type: Article Pays d'affiliation: Argentine Institution/Pays d'affiliation: Hospital Durand - Urologia/AR

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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 / Aged80 / Humains / Mâle langue: Anglais Texte intégral: Int. braz. j. urol Thème du journal: Urologie Année: 2014 Type: Article Pays d'affiliation: Argentine Institution/Pays d'affiliation: Hospital Durand - Urologia/AR