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Urologia. 2017 Jul 1:0. doi: 10.5301/uj.5000228. [Epub ahead of print]

Experience after 12 cases with the adjustable transobturator male sling for postprostatectomy stress urinary incontinence.

Author information

1
Urology Unit, Surgical Department, Fondazione Poliambulanza Istituto Ospedaliero, Brescia - Italy.

Abstract

OBJECTIVES:

The aim of the study was the prospective evaluation of the efficacy of the adjustable transobturator male system (ArgusT®) for the treatment of postprostatectomy stress urinary incontinence (PPI).

METHODS:

Twelve consecutive patients were treated with ArgusT system for PPI. All patients were comprehensively evaluated preoperatively and after 3 and 6 months regarding daily pad use, residual urine, Incontinence Quality of Life Scale (I-QoL) score and International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF) score. Cure rate was defined as no pad use or one pad (used for security reasons).

RESULTS:

At 3 and 6 months, we achieved a cure rate of 91%. The mean number of pads per day decreased from 4 ± 1.3 to 0.7 ± 0.9 and 0.5 ± 0.9 after 3 and 6 months, respectively (p<0.001). Only one patient showed no significant improvement. Compared with baseline, the mean ICIQ-SF score dropped from 17.3 ± 2.8 to 2.7 ± 3.8 and 2.4 ± 3.8, at 3 and 6 months, respectively (p<0.001). The mean I-QoL score also improved significantly from 53.1 ± 20.3 to 99.5 ± 11 and 96.8 ± 12.5 after 3 and 6 months, respectively (p<0.001). Postoperative acute urinary retention was seen in one patient.

CONCLUSIONS:

In our early experience, the ArgusT system offers effective, safe and minimally invasive treatment option for PPI.

PMID:
28708202
DOI:
10.5301/uj.5000228

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