Long-Term Results of Artificial Urinary Sphincter for Women with Type III Stress Urinary Incontinence

Costa, P.; Poinas, G.; Naoum, K. Ben; Bouzoubaa, K.; Wagner, L.; Soustelle, Laurent; Boukaram, M.; Droupy, S.

doi:10.1016/j.eururo.2012.03.008

Cited by 106 publications

(74 citation statements)

References 24 publications

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“…Increasing age is associated with problems such as low tissue quality, loss of ureter dexterity, and increased overactivity of the bladder [28]. Radiation therapy is associated with long-term consequences, such as obliteration of small vessels with subsequent endarteritis resulting in fibrosis, tissue ischemia, necrosis, and aberrant tissue repair [29].…”

Section: Discussionmentioning

confidence: 99%

Treatment Outcomes of Transurethral Macroplastique Injection for Postprostatectomy Incontinence

et al. 2014

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PurposeWe investigated the efficacy of transurethral injection of Macroplastique bulking agent (Uroplasty) for male stress urinary incontinence (SUI) after prostate surgery.Materials and MethodsThis retrospective review included men with SUI treated by transurethral injection for symptoms resulting from prostate surgery. Patients were evaluated at 1 month and 6 months after injection by determining the number of pads used per day and changes in incontinence symptoms. Treatment success was defined as use of 1 pad or fewer per day combined with subjective symptom improvement.ResultsThe study population comprised 30 men with a mean age of 66.1±5.3 years. Of the 30 patients, 24 (80.0%) underwent prostate cancer surgery and the remaining 6 (20.0%) underwent surgery for benign prostatic hyperplasia. The preinjection pad number was 2.9±1.9 pads per day. After injection treatment, the mean follow-up period was 9.3±12.7 months and the success rate was 43% (13/30) at 1 month and 32% (6/19) at 6 months. Injection was more likely to result in a successful outcome in patients with no preinjection radiation treatment history and higher abdominal leak point pressure (ALPP) than in those with a previous history of radiation treatment and lower ALPP, although this result was not statistically significant. Acute urinary retention occurred in 5 patients (17%).ConclusionsTransurethral Macroplastique injection treatment is a relatively non-invasive treatment method for male SUI with a success rate of 43% at 1 month and 32% at 6 months. Patients with a higher ALPP and no previous history of radiation therapy may experience better treatment outcomes.

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Section: Discussionmentioning

confidence: 99%

Treatment Outcomes of Transurethral Macroplastique Injection for Postprostatectomy Incontinence

et al. 2014

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“…The criteria used in the studies with AUS to define continence were represented in Table 2. Discrepancies exist in the definition of continence reported in the main series [34][35][36][37][38][39][40][41][42][43][44]. Furthermore, subjective outcomes were rarely reported.…”

Section: Ausmentioning

confidence: 76%

Outcome measures for stress urinary incontinence treatment: Can we minimally agree?

Phé

Chartier‐Kastler

2015

World J Urol

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“…Costa et al [37] prospectively followed up 344 women with severe ISD based on urodynamic findings who were implanted with the AMS800 (American Medical Systems, Minnetonka, MN, USA) AUS over a mean period of 9.6 years. The authors reported that at last follow-up, 85.6 % of patients were subjectively fully continent and the mean mechanical survival of the device was 14.7 years.…”

Section: Artificial Urinary Sphinctermentioning

confidence: 99%

Considerations in the modern management of stress urinary incontinence resulting from intrinsic sphincter deficiency

2015

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Long-Term Results of Artificial Urinary Sphincter for Women with Type III Stress Urinary Incontinence

Cited by 106 publications

References 24 publications

Treatment Outcomes of Transurethral Macroplastique Injection for Postprostatectomy Incontinence

Treatment Outcomes of Transurethral Macroplastique Injection for Postprostatectomy Incontinence

Outcome measures for stress urinary incontinence treatment: Can we minimally agree?

Considerations in the modern management of stress urinary incontinence resulting from intrinsic sphincter deficiency

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