ProACT™ for Stress Urinary Incontinence after Radical Prostatectomy

Abstract

Introduction: Stress urinary incontinence is a bothersome complication of radical prostatectomy. Surgical treatment consists of the artificial urinary sphincter (AUS), the male sling and bulk injections. This study presents the results of the first series of implantations of ProACT^TM in the Netherlands. Materials and Methods: A non-validated questionnaire was sent to 29 male patients implanted with ProACT to determine Stamey score, pad count and questions about quality of life and satisfaction. Complications, revisions and explantations were registered. Results: Mean follow-up was 41 months. Based on Stamey score four patients are continent at the end and nine patients according to the pad count. The average pad count decreased significantly. Remarkable was the high rate of dislocations and revisions and patients’ satisfaction. Conclusions: ProACT is a less invasive treatment compared to the AUS. However, the procedure is associated with a substantial revision and explantation rate. ProACT can be part of a so-called step-up approach before opting for a more invasive treatment.

Adjustable continence balloons: Clinical results of a new minimally invasive treatment for male urinary incontinence

“…Using similar definitions to those in this study, dry rates between 31 and 81% have been reported with ProACT [4][5][6]9]. Thus, the dry rate in this study is lower than that found in some other studies.…”

“…One of the most recent treatments, which has the advantage of being minimally invasive, is the insertion of adjustable continence balloons, ProACT (ProACT Ô , Uromedica, Plymouth, USA), as first described by Hübner and Schlarp in 2005 [4]. These operations have shown promising results [5][6][7][8][9]. The objective of this article is to evaluate the results of the Danish experience with ProACT.…”

Four‐year follow‐up on 68 patients with a new post‐operatively adjustable long‐term implant for post‐prostatectomy stress incontinence: ProACT™

“…The 32.4% rate of revision surgery in this cohort is standard when compared to published literature with comparable length of follow‐up. Noordhoff et al (46 mos), Martens et al (41 mos), and Roupert et al (56.3 mos) show revision rates of 30.1%, 41.3%, and 13.3%, respectively. This revision rate is also similar to what has been published in the artificial urinary sphincter literature …”

Evaluation of the medium-term results of treatment of male urinary incontinence due to sphincteral insufficiency, with periurethral balloons (Pro-ACT®). Monocentric study on 60 consecutive patients

“…Cette technique est encore en cours d'évaluation, avec, à ce jour, neuf séries publiées concernant 441 patients [4][5][6][7][8][9][10][11][12].…”

“…The average age at the time of implantation was 68.78 years . The average waiting time between RP and implantation was 4.04 years [0][1][2][3][4][5][6][7][8][9][10][11][12][13][14][15]. The average number of daily protections prior to treatment was 2.3 (/47 patients) [0 condom catheter].…”