Implantation of an Adjustable Continence Therapy System Using Local Anesthesia in Patients With Post-Radical Prostatectomy Stress Urinary Incontinence: A Pilot Study

Abstract

Transrectal ultrasound guided ProACT system implantation with the patient under local anesthesia only is feasible, safe, well tolerated and may be performed as a day surgery procedure.

Adjustable Continence Balloons in Men: Adjustments Do Not Translate Into Long-term Continence

“…[5][6][7][8][9] However, these results cannot always be achieved in routine daily clinical practice. In the present series of patients undergoing implantation of ProACT, we observed a 4.5% continence rate and a 73% adjustment rate with a 45% satisfied patients after a median follow-up of 57 months.…”

“…Our refilling rates of 73% are in accordance with the literature. [5][6][7][8][9] It is important to consider the history of each patient before further adjustments and verify that there has been significant clinical improvement with better quality of life. Considering our results at the end of patients' follow-up, it might not make sense to continue with further adjustments without significant improvements on the long term.…”

“…5 During the past years, many reports about ProACT device have shown dry or improved rates ranging from 50% to 92%. [5][6][7][8][9] Most of the available studies are generally limited to 4-24 months. A recent prospective study on 128 patients with a mean follow-up of 56.3 months confirmed the ProACT as an option for the treatment of moderate male SUI.…”

Adjustable continence therapy (ProACT™) after male sling failure for patients with post-radical prostatectomy urinary incontinence: a prospective study with one-year follow-up

“…We consider that fibroscopic control of trocar progression is a valuable safety process to avoid perforation of the bladder during this maneuver. Echographic control of the trocar insertion is another valuable method to control balloon positioning [25], but may be more difficult to acquire.…”

Adjustable systems for the treatment of male incontinence

“…Diese Erfahrungen wurden inzwischen durch zahlreiche Publikationen bestätigt [9,10,11]. In jünge-rer Zeit wurde die Methode um die Mög-lichkeit der TRUS-gesteuerten Implantation erweitert [12].…”