Contemporary Management of Postprostatectomy Incontinence

Bauer, Ricarda M.; Gozzi, Christian; Hübner, W.; Νitti, Victor W.; Novara, Giacomo; Peterson, Andrew C.; Sandhu, Jaspreet S.; Stief, Christian G.

doi:10.1016/j.eururo.2011.03.020

Cited by 210 publications

(179 citation statements)

References 95 publications

Supporting

Mentioning

155

Contrasting

Unclassified

Order By: Relevance

“…As recently as 10 years ago, the only reliable surgical treatment for PPI was the AUS (13,14). Although it has been associated with significant complications such as infection, erosion and mechanical failure, including urethral atrophy with recurrent incontinence, and a revision rate of greater than 50% (15,16), this procedure continues to play a predominant role.…”

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.

View full text Add to dashboard Cite

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.

show abstract

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.

View full text Add to dashboard Cite

show abstract

“…In general, measurement of the 24-hour pad weight is considered the most accurate test. 28 However, this is not easy to apply in practice, so we measured the severity of urinary incontinence by a self-reported questionnaire that could also reflect self-satisfaction. Finally, because we focused on the impacts of preoperative and postoperative MUL on urinary incontinence, other parameters affecting urinary incontinence might be underestimated.…”

Section: Discussionmentioning

confidence: 99%

Impact of preoperative and postoperative membranous urethral length measured by 3 Tesla magnetic resonance imaging on urinary continence recovery after robotic-assisted radical prostatectomy

Song

Kim²,

Park³

et al. 2017

CUAJ

View full text Add to dashboard Cite

Introduction: We sought to investigate the impact of preoperative and postoperative membranous urethral length (MUL) on urinary continence using 3 Tesla (3T) magnetic resonance imaging (MRI) after robotic-assisted radical prostatectomy (RARP). Methods: Between 2008 and 2013, 190 men with RARP underwent preoperative and postoperative MRI. Patients who received adjuvant radiotherapy or who were lost to followup were excluded, leaving 186 patients eligible for analysis. Preoperative MUL was estimated from the prostate apex to the penile bulb, while postoperative MUL was estimated from the bladder neck to penile bulb. Patients with no pads or protection were considered to have complete continence. Logistic regression analysis was used to identify predictors associated with urinary incontinence at six and 12 months. Results: Age was commonly associated with urinary incontinence at six and 12 months. In addition, diabetes mellitus (DM) was another factor associated with urinary incontinence at 12 months. When adjusting these variables, preoperative MUL ≤16 mm (95% confidence interval [CI] 1.01-1.14; p=0.022), postoperative MUL ≤14 mm (95% CI 1.16-9.80; p=0.025) and percent change of MUL >18% (95% CI 1.17-7.23; p=0.021) were significantly associated with urinary incontinence at six months. However, at 12 months, preoperative MUL ≤13.5 mm (95% CI 1.85-19.21; p=0.003) and postoperative MUL ≤13 mm (95% CI 1.24-13.84; p=0.021) had impacts on urinary incontinence, but not percent change of MUL. Conclusions: Preoperative and postoperative MUL were significantly associated with urinary continence recovery after RARP. Therefore, efforts to preserve MUL are highly recommended during surgery for optimal continence outcomes after RARP.

show abstract

“…Todėl gydant vidutinio arba sunkaus laipsnio vyrų šla-pimo nelaikymą, auksiniu standartu laikomas dirbtinio šlapimo pūslės sfinkterio implantavimas [8,9,10]. Iki šios dažniausiai buvo naudojamas AMS 800 ("American Medical Systems") dirbtinis sfinkteris [1,8,11], kuris pradėtas implantuoti 1973 m. Iki 1983 m. AMS 800 dirbtinis sfinkteris buvo tobulinamas 5 kartus, penktoji šio sfinkterio karta implantuojama apie 30 metų ir tebenaudojama iki šiol [12].…”

Section: įVadasunclassified

“…Iki šios dažniausiai buvo naudojamas AMS 800 ("American Medical Systems") dirbtinis sfinkteris [1,8,11], kuris pradėtas implantuoti 1973 m. Iki 1983 m. AMS 800 dirbtinis sfinkteris buvo tobulinamas 5 kartus, penktoji šio sfinkterio karta implantuojama apie 30 metų ir tebenaudojama iki šiol [12].…”

Section: įVadasunclassified

See 1 more Smart Citation

Vyrų šlapimo nelaikymo gydymo implantuojant dirbtinį sfinkterį ZSI 375 pirmieji rezultatai

Černiauskienė

Jankevičius

Usovas

et al. 2015

Medicinos Teorija Ir Praktika

View full text Add to dashboard Cite

SANTRAUKAReikšminiai žodžiai: vyrų šlapimo nelaikymas, dirbtinis šlapimo pūslės sfinkteris, radikali prostatektomija, ZSI 375. Darbo tikslas. Pateikti pirmuosius vyrų šlapimo nelaikymo po radikalios prostatektomijos rezultatus, implantuojant ZSI 375 dirbtinį sfinkterį. Įvertinti šio metodo efektyvumą ir pranašumą. Medžiaga ir metodai. 2013-2014 m. VUL SK Urologijos centre 4 pacientams dėl vidutinio ir sunkaus laipsnio šlapimo nelaikymo, atsiradusio po radikalios prostatektomijos dėl prostatos karcinomos, buvo implantuoti šlapimo pūslės dirbtiniai sfinkteriai ZSI 375. Šiems pacientams konservatyvus šlapimo nelaikymo gydymas buvo neveiksmingas. Visi pacientai prieš operaciją buvo išsamiai ištirti. Jiems prostatos vėžio progresavimo, šlaplės striktūrų, liekamojo šlapimo nebuvo, šlapimo takų infekcijos nerasta. Pacientai patikrinti praėjus mėnesiui po dirbtinio sfinkterio aktyvavimo. Rezultatai. Iš viso buvo implantuoti 5 dirbtiniai sfinkteriai 4 pacientams, iš jų vienam ligoniui pakartotinai, nes pirmas implantuotas sfinkteris neveikė dėl mechaninio gedimo. Praėjus dviem mėnesiams buvo aktyvuoti 3 sfinkteriai, vienas sfinkteris neaktyvuotas dėl prietaiso gedimo, vienas sfinkterio aktyvavimas atidėtas mėnesiui dėl kapšelio hematomos. Patikrinus 3 pacientus praėjus 1 mėnesiui po sfinkterio aktyvavimo, 2 visiškai nereikėjo įklotų, 1 per parą užteko 1 įkloto. Išvados. Remiantis literatūros ir savo pirmuoju patyrimu dirbtinio sfinkterio ZSI 375 implantavimas gydant vyrų vidutinio ir sunkaus laipsnio šlapimo nelaikymą yra efektyvi gydymo priemonė. Šis sfinkteris pranašesnis už kitus dėl elastiškumo, turi daugiau indikacijų operacijai, galima jo rentgenologinė kontrolė. Taip pat yra galimybė reguliuoti šį prietaisą bei manžetę, nustatyti norimą spaudimą operacijos metu ir jį reguliuoti po operacijos. Ši operacija yra mažai traumuojanti, techniškai nesudėtinga, pagerina ligonių gyvenimo kokybę. ABSTRACTKey words: male urinary incontinence, artificial urinary sphyncter, radical prostatectomy, ZSI 375. Objective. Our purpose is to provide first results of artificial urinary sphincter ZSI 375 inplantation for treatment of male urinary incontinence after radical prostatectomy. To evaluate effectiveness and safety of ZSI 375 artificial urinary sphincter patiens. Materials and methods. 4 patients with moderate to severe urinary incontinence after radical prostatectomy had artificial urinary sphincter ZSI 375 implantation during the 2013-2014. For these patients, urinary incontinence conservative treatment has not effective. All patients before surgery examined. For all patients progression of prostate cancer, urethral strictures, residual urine and urinary tract infections were not found. Patients were checked one month after the activation of the artificial sphincter. Results. 5 artificial sphincters were implanted in 4 patients, including one patient repeatedly, because the first did not work for failure of implanted mechanical sphincter. After two months has been activated 3 sphincters, one sphincter was not activated because...

show abstract

Contemporary Management of Postprostatectomy Incontinence

Cited by 210 publications

References 95 publications

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

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

Impact of preoperative and postoperative membranous urethral length measured by 3 Tesla magnetic resonance imaging on urinary continence recovery after robotic-assisted radical prostatectomy

Vyrų šlapimo nelaikymo gydymo implantuojant dirbtinį sfinkterį ZSI 375 pirmieji rezultatai

Contact Info

Product

Resources

About