Treatment of moderate to severe female stress urinary incontinence with the adjustable continence therapy (ACT) device after failed surgical repair
| Autor: | Mai Le Tu, Pejvak Sassani, Peter Pommerville, Neil Baum, Ethan I. Franke, Suzette E. Sutherland, Sherif R. Aboseif, Joel Slutsky, Steven Nash, Niall T.M. Galloway |
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| Rok vydání: | 2009 |
| Předmět: |
Nephrology
Adult medicine.medical_specialty Stress incontinence Percutaneous Urology Urinary Incontinence Stress Urinary incontinence Urologic Surgical Procedure Severity of Illness Index Gynecologic Surgical Procedures Internal medicine Severity of illness Secondary Prevention Medicine Humans Treatment Failure Aged Retrospective Studies Surgical repair Aged 80 and over business.industry Retrospective cohort study Middle Aged medicine.disease Surgery Treatment Outcome Equipment and Supplies Feasibility Studies Urologic Surgical Procedures Female medicine.symptom business Follow-Up Studies |
| Zdroj: | World journal of urology. 29(2) |
| ISSN: | 1433-8726 |
| Popis: | Treatment of recurrent stress incontinence after a failed surgical procedure is more complicated, and repeat surgeries have higher rates of complications and limited efficacy. We determined the technical feasibility, efficacy, adjustability, and safety of adjustable continence therapy device for treatment of moderate to severe recurrent urinary incontinence after failed surgical procedure. Female patients with moderate to severe recurrent stress urinary incontinence who had at least one prior surgical procedure for incontinence were enrolled. All patients underwent percutaneous placement of adjustable continence therapy (ACT) device (Uromedica, Plymouth, Minnesota). Baseline and regular follow-up tests to determine subjective and objective improvement were performed. A total of 89 patients have undergone implantation with 1–3 years of follow-up. Data are available on 77 patients at 1 year. Of the patients, 47% were dry at 1 year and 92% improved after 1-year follow-up. Stamey score improved from 2.25 to 0.94 at 1 year (P |
| Databáze: | OpenAIRE |
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