Single-component artificial urinary sphincter: Outcomes from one centre in Portugal.

Autor: Aragão Vital J; Centro Hospitalar Universitário de Santo António (CHUdSA), Porto. joaopvital@gmail.com., Marques Monteiro M; Centro Hospitalar Universitário de Santo António (CHUdSA), Porto. mmonteiro.iam@gmail.com., Lobão Teixeira B; Centro Hospitalar Universitário de Santo António (CHUdSA), Porto. bernardolat@gmail.com., Grilo Mendes G; Centro Hospitalar Universitário de Santo António (CHUdSA), Porto. goncalo.grilomendes@gmail.com., Rocha A; Centro Hospitalar Universitário de Santo António (CHUdSA), Porto. marialexandrarocha@gmail.com., Madanelo M; Centro Hospitalar Universitário de Santo António (CHUdSA), Porto. marianacmadanelo@gmail.com., Mesquita S; Centro Hospitalar Universitário de Santo António (CHUdSA), Porto. sofiaoplmesquita@gmail.com., Vinagre N; Centro Hospitalar Universitário de Santo António (CHUdSA), Porto. nunomrvinagre@gmail.com., Oliveira B; Centro Hospitalar Universitário de Santo António (CHUdSA), Porto. ana.bia.5@hotmail.com., Magalhães M; Centro Hospitalar Universitário de Santo António (CHUdSA), Porto. martinha.a.magalhaes@gmail.com., Isabel Lopes A; Centro Hospitalar Universitário de Santo António (CHUdSA), Porto. analopes.urodinamica@chporto.min-saude.pt., Ferreira C; Centro Hospitalar Universitário de São João (CHUSJ), Porto. carlosferreira.esr@gmail.com., Príncipe P; Centro Hospitalar Universitário de Santo António (CHUdSA), Porto. paulo.principe@gmail.com., Fraga A; Centro Hospitalar Universitário de Santo António (CHUdSA), Porto. avfraga@gmail.com.
Jazyk: angličtina
Zdroj: Archivio italiano di urologia, andrologia : organo ufficiale [di] Societa italiana di ecografia urologica e nefrologica [Arch Ital Urol Androl] 2024 Oct 02; Vol. 96 (3), pp. 12661. Date of Electronic Publication: 2024 Oct 02.
DOI: 10.4081/aiua.2024.12661
Abstrakt: Purpose: Radical prostate cancer treatment is the predominant cause of iatrogenic stress urinary incontinence (SUI) in men, significantly impacting their quality of life (QoL). This prospective single-center study in Portugal aimed to evaluate the outcomes of men with moderate-to-severe SUI treated with a single-component artificial urinary sphincter (AUS).
Materials and Methods: Male patients with iatrogenic moderate-to-severe SUI, determined by a 24-hour pad weight test, were included. The single-component device comprises a cuff linked to a pump unit through a kink-resistant tube. The implantation involved perineal incision for cuff placement and an inguinal incision for pump and tank positioning within the scrotum. Complications, pad usage, perioperative complications (Clavien-Dindo classification), and quality of life assessment using the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) questionnaire were documented.
Results: Between May 2021 and March 2023, 20 consecutive single-component AUS insertions were conducted at a Portuguese urology department. Follow-up concluded in July 2023, with a mean follow-up duration of 15 months (range: 5-27). Four patients experienced complications necessitating device revision or removal (erosion = 2, infection = 1, mechanical failure = 1). Social continence (0/1 pad/day) was achieved in 70% (14/20 patients), while 30% (6/20 patients) experienced incontinence. Perioperatively, one patient was classified as grade 2, while the remaining were grade 0/1 in the Clavien-Dindo classification. The mean ICIQ-SF score reduction was 10.5 points.
Conclusions: The single-component AUS shows promising efficacy in managing moderate-to-severe male SUI, offering a good success rate, acceptable complications, improved QoL, and a straightforward surgical procedure.
Databáze: MEDLINE
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