Prospective study evaluating efficacy and safety of Adjustable Continence Therapy (ProACT) for post radical prostatectomy urinary incontinence

Trigo-Rocha, Flavio; Gomes, Cristiano Mendes; Pompeo, Antônio Carlos Lima; Lucon, Antônio Marmo; Arap, Sami

doi:10.1016/j.urology.2005.11.011

Cited by 75 publications

(42 citation statements)

References 22 publications

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“…Complications were also presented in the series, however with a higher percentage. Despite the PUC belongs to the same category of devices (fixed adjustable compression) studies with ProACT (18)(19)(20) and the device proposed by Inci et al (17) that reported a success rate above 80% were discordant from our findings (25%). Only Simone et al (21) and Rezende Junior et al (22) had comparable rates using the PUC.…”

Section: Discussionsupporting

confidence: 62%

“…The basic idea when proposing this device was to strenghten the continence zone with the possibility of reducing or increasing the resistance at the sphncteric area through percutaneous puncture, feature not found with other sphincter models (AS 800). This feature was later incorporated into other devices such as the devices proposed by Inci et al (17) in 2008 and ProACT (18)(19)(20).…”

Section: Discussionmentioning

confidence: 99%

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Periurethral constrictor: late results of the treatment of post prostatectomy urinary incontinence

et al. 2011

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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%) became continent (0 to 1 pad a day) and 34 (60.72%) were incontinent. Complications were as follows: urethral erosion in 15 (26.78%); mechanical malfunction in 2 (3.5%); infection in 2 (3.5%); urinary fistula in 1 (1.7%); Urinary tract infection1 (1.7%). Twenty-three patients needed to have the device removed (41.07%). Success rate (continent me) was 30.35%. Conclusion: In the present series the PUC was not effective for the treatment of severe PPUI in the long-term follow-up.

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Section: Discussionsupporting

confidence: 62%

Section: Discussionmentioning

confidence: 99%

Periurethral constrictor: late results of the treatment of post prostatectomy urinary incontinence

et al. 2011

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“…Adjustable devices offer a great advantage over the non-adjustable ones: their ability to be adapted to changes in patients' conditions. Examples of adaptable devices are the Argus (Promedon, Argentina), Remeex (Neomedic, Spain), ATOMS (A.M.I., Austria) and ProACT™ (Uromedica, USA) devices (5,(17)(18)(19)(20).…”

Section: Discussionmentioning

confidence: 99%

A transobturator adjustable system for male incontinence: 30-month follow-up of a multicenter study

Romano

Huebner²,

Rocha³

et al. 2014

Int. braz j urol.

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ARTICLE INFO ______________________________________________________________ ______________________Purpose: To report long-term results of the Argus T adjustable system for treatment of post-prostatectomy urinary incontinence (PPI). . 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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“…The risk rates of these complications are lower than AUS in slings. Trigo-Rocha et al (37) reported 70% success of continence in a short-term follow-up with peri-urethral balloons which were placed in the transperineal using the guidance of fluoroscopy, urethroscopy or ultrasonography and was inflated 8 mL or until continence was achieved. Koncjancic et al (38) reported a high rate of complication of periurethral balloons and also they removed the balloons from 17% of the patients.…”

Section: Sling Operationsmentioning

confidence: 99%

Post Prostatectomy Incontinence

Bozkurt¹,

Akın²,

Nuhoğlu³

2012

JAREM

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Urinary incontinence after prostatectomy for malignant and/or benign prostatic diseases is one of the most serious complications. Urinary incontinence occurs rarely after prostatectomy for benign diseases. However, it may occur more commonly after radical prostatectomy. These complications affect the patient's quality of life. Treatment of incontinence due prostatectomy includes several methods which differ from conservative to invasive surgical procedures. Slings and artificial urethral sphincters (AUS) are used more often than other procedures. Infection ratios and erosion of urethra are less frequent in AUS than in slings. Although AUS is the standard surgical procedure for severe urinary incontinence, slings may be used for severe male incontinence after prostatectomy due to the current development in sling materials.. Herein, we evaluate post prostatectomy urinary incontinence and treatments in the light of a review of current literature. (JAREM 2012; 2: 96-100) Key Words: Male sling, radical prostatectomy, stress urinary incontinence, TURP ÖZETBenign ya da malign hastalıklar için yapılan prostatektomi sonrasında inkontinans gelişmesi en korkulan komplikasyonlardandır. Benign nedenlerle prostatektomi uygulanan hastalarda post operatif üriner inkontinans nadir iken, radikal prostatektomi sonrasında daha yüksek oranlarda görülür. Bu komplikasyon, hastanın yaşam kalitesini önemli derecede etkilemektedir. Prostatektomi sonrası oluşan idrar kaçırma tedavisinde; konservatif yön-temlerden, invaziv girişimlere kadar değişen farklı yöntemler kullanılır. Sling ve artifisyel üriner sfinkter (AÜS) operasyonları bu amaçla en sık kullanılan cerrahi tedavi yöntemlerdir. Sling yöntemleri, AÜS'e göre operasyon sonrası enfeksiyon ve üretral erozyon gibi komplikasyonları açısından düşük risk taşımaktadır. Şiddetli inkontinansta AÜS, günümüzde standart tedavi seçeneği sayılsa da, erkek sling materyallerindeki gelişmeler, ciddi inkontinans vakalarında da sling yöntemlerinin öne çıkacağını göstermektedir. Bu çalışmada prostatektomi sonrası idrar kaçırma ve tedavi yöntemleri güncel bilgiler eşliğinde değerlendirildi. (JAREM 2012; 2: 96-100) Anahtar Sözcükler: Male sling, stres üriner inkontinans, radikal prostatektomi, TURP

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Prospective study evaluating efficacy and safety of Adjustable Continence Therapy (ProACT) for post radical prostatectomy urinary incontinence

Cited by 75 publications

References 22 publications

Periurethral constrictor: late results of the treatment of post prostatectomy urinary incontinence

Periurethral constrictor: late results of the treatment of post prostatectomy urinary incontinence

A transobturator adjustable system for male incontinence: 30-month follow-up of a multicenter study

Post Prostatectomy Incontinence

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