Secondary placement of adjustable continence therapy (ProACT™) using open perineal technique: Case report of ProACT placement in a man with a devastated urethra following pelvic trauma and multiple AUS erosions

Autor: Lily Kong, Nathaniel D. Coddington, Brian J. Flynn
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Urology Case Reports, Vol 49, Iss , Pp 102424- (2023)
Druh dokumentu: article
ISSN: 2214-4420
DOI: 10.1016/j.eucr.2023.102424
Popis: Adjustable continence therapy (ProACT) is an underutilized treatment option in men with stress urinary incontinence. The device is placed using a perineal percutaneous tunneled approach. We demonstrate a salvage technique for ProACT placement in a man with a devastated urethra following pelvic trauma and multiple artificial urinary sphincter (AUS) erosions who failed a tunneled approach. Our novel technique has utility in those at high risk for intra-operative trocar injury to the urinary tract with a tunneled approach. An open approach may also be a viable option in high-risk patients who have failed a conventional ProACT approach, male sling, or AUS.
Databáze: Directory of Open Access Journals