Single institution experience with the transobturator sling suspension system AdVance® in the treatment of male urinary incontinence: mid-term results
Berger, Andreas P; Strasak, Alexander; Seitz, Christian; Rein, Patrick; Hobisch, Alfred.
Int. braz. j. urol
; 37(4): 488-494, July-Aug. 2011. tab
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en Inglés
| LILACS | ID: lil-600814
PURPOSE:
To evaluate the clinical outcome after placement of AdVance® sling in men with stress urinary incontinence after prostate surgery. MATERIALS ANDMETHODS:
Incontinence was assessed on basis of number of pad usage. Patients' satisfaction was evaluated using a non-validated patient questionnaire at 12 months post-operatively.RESULTS:
Incontinence cure rate (no pad usage) was 61.5 percent (16/26) and improvement (1-2 pads per day) was seen in 26.9 percent (7/26). No improvement was observed in 11.5 percent (3/26) of patients. A total of 87.5 percent (21/24) of patients were very satisfied with the operation 22 months after surgery. Success rate in patients with prior radiation therapy (20 percent cure; 40 percent improvement) was significantly worse.CONCLUSIONS:
Placement of the AdVance® sling represents an effective and safe treatment option for patients with post prostate surgery incontinence. Patients that underwent radiotherapy after prostate surgery had lower success rate.
Biblioteca responsable:
BR1.1
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