Treatment of post-prostate surgery urinary incontinence with the periurethral constrictor: a retrospective analysis
| Autor: | José Anacleto Dutra de Resende Júnior, Maria Cristina Dornas, Cesar Borges Barros, Ronaldo Damião, J. Schiavini, Danilo Souza Cruz Lima da Costa |
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| Rok vydání: | 2009 |
| Předmět: |
Nephrology
Male medicine.medical_specialty medicine.medical_treatment Urology Urination Urinary incontinence Prosthesis Design Risk Assessment Urinary catheterization Cohort Studies Prosthesis Implantation Postoperative Complications Urethra Internal medicine medicine Humans Aged Retrospective Studies Prostatectomy business.industry Genitourinary system Prostatic Neoplasms Retrospective cohort study Prostheses and Implants Recovery of Function Middle Aged Surgery Urodynamics medicine.anatomical_structure Treatment Outcome Urinary Incontinence Cuff Quality of Life Prostate surgery medicine.symptom business Urinary Catheterization Follow-Up Studies |
| Zdroj: | Urology. 75(6) |
| ISSN: | 1527-9995 |
| Popis: | Objectives In this study, we present safety and efficacy data for a surgical alternative for the treatment of postprostate surgery urinary incontinence, based on the use of the periurethral constrictor, a two-part device—constrictor cuff and self-sealing valve with a tube—activated by injection of saline solution. Methods From May 2001 to October 2007, 30 patients with postprostate surgery urinary incontinence were submitted to implantation of the periurethral constrictor. Results The mean follow-up was 42.1 months (range, 13-72). Twenty-two (73.3%) of the patients had functional devices and were socially continent. Among them, 20 patients voided spontaneously, whereas two performed intermittent catheterization. Revisions to exchange leaking valves were necessary in 4 cases, and since then these patients have been socially continent. In this series, with the exception of 4 cases of erosion, 3 cases of infection that required complete removal of the devices, and 1 case of detrusor hyper-reflexia, there were no other major complications. Conclusion The results of this retrospective study suggest that the implantation of the periurethral constrictor appears to be safe and effective as an alternative to the treatment of postprostate surgery urinary incontinence. |
| Databáze: | OpenAIRE |
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