Salomon Victor Romano1, Wilhelm Huebner2, Flavio Trigo Rocha3, Fernando Pires Vaz4, Valter Muller4, Fabio Nakamura5. 1. Department of Urology, Hospital Durand - Urologia, Buenos Aires, Argentina. 2. Department of Urology, Humanis Clinic, Korneuburg, Lower Austria, Austria. 3. Department of Urology, Hospital das Clinicas, São Paulo, SP Brazil. 4. Department of Urology, Hospital dos Servidores, Rio de Janeiro, RJ, Brazil. 5. CIEM - Centro de Especialidades Médicas de Florianopolis, Florianopolis, SC, Brazil.
Abstract
PURPOSE: To report long-term results of the Argus T adjustable system for treatment of post-prostatectomy urinary incontinence (PPI). MATERIALS AND METHODS: From October 2007 to August 2008, 37 patients with PPI were included in a prospective, single-arm, multicenter trial of treatment with the Argus T adjustable system (Promedon, Argentina). Preoperative evaluation included urine culture, urethrocystoscopy, urodynamic testing, 24-h pad weight test (PWT) and quality of life questionnaires. Patients were stratified according to baseline degree of incontinence (mild-moderate or severe). Postoperative evaluation included immediate PWT, quality of life questionnaires and daily use of pads at 1, 12 and 30 months. RESULTS AND CONCLUSIONS: One patient was lost to follow-up. At the 30-month follow-up, 24/31 patients (77%) were dry, 3/31 (10%) improved and 4/31 (13%) were failures. In particular, in the mild-moderate group, 8/8 (100%) patients were dry. In the severe group, 20/28 patients (71%) were dry, 3/28 (11%) improved and 5/28 (18%) were failures. Median visual analogue scale (VAS) scores dropped from 9 (4-10) to 0.5 (0-10) and International Consultation on Incontinence Questionnaire Short Form scores from (ICIQ-SF) 19 (12-21) to 1 (0-10). Retrograde leak point pressure increased from 18 (5-29) to 35 (22-45) cm H2O after intraoperative adjustment. Complications included immediate postoperative infection in 2/36 patients (6%) and transient inguinal and/or perineal pain in 22/36 patients (61%). Argus T has a long-term high success rate (86% cure + improvement at the 30-month follow-up). Good outcomes were achieved even in severe incontinence cases and maintained for over 30 months.
PURPOSE: To report long-term results of the Argus T adjustable system for treatment of post-prostatectomy urinary incontinence (PPI). MATERIALS AND METHODS: From October 2007 to August 2008, 37 patients with PPI were included in a prospective, single-arm, multicenter trial of treatment with the Argus T adjustable system (Promedon, Argentina). Preoperative evaluation included urine culture, urethrocystoscopy, urodynamic testing, 24-h pad weight test (PWT) and quality of life questionnaires. Patients were stratified according to baseline degree of incontinence (mild-moderate or severe). Postoperative evaluation included immediate PWT, quality of life questionnaires and daily use of pads at 1, 12 and 30 months. RESULTS AND CONCLUSIONS: One patient was lost to follow-up. At the 30-month follow-up, 24/31 patients (77%) were dry, 3/31 (10%) improved and 4/31 (13%) were failures. In particular, in the mild-moderate group, 8/8 (100%) patients were dry. In the severe group, 20/28 patients (71%) were dry, 3/28 (11%) improved and 5/28 (18%) were failures. Median visual analogue scale (VAS) scores dropped from 9 (4-10) to 0.5 (0-10) and International Consultation on Incontinence Questionnaire Short Form scores from (ICIQ-SF) 19 (12-21) to 1 (0-10). Retrograde leak point pressure increased from 18 (5-29) to 35 (22-45) cm H2O after intraoperative adjustment. Complications included immediate postoperative infection in 2/36 patients (6%) and transient inguinal and/or perineal pain in 22/36 patients (61%). Argus T has a long-term high success rate (86% cure + improvement at the 30-month follow-up). Good outcomes were achieved even in severe incontinence cases and maintained for over 30 months.
Authors: Amjad Alwaal; Catherine R Harris; Mohannad A Awad; Isabel E Allen; Benjamin N Breyer Journal: Int Urol Nephrol Date: 2016-07-14 Impact factor: 2.370
Authors: Sandra Mühlstädt; Alexander Friedl; Nasreldin Mohammed; André Schumann; Karl Weigand; Felix Kawan; Christian Göllert; Christin Kahlert; Gerit Theil; Kersten Fischer; Paolo Fornara Journal: World J Urol Date: 2016-05-07 Impact factor: 4.226
Authors: Ireneusz Ostrowski; Emil Śledź; Janusz Ciechan; Tomasz Golabek; Jakub Bukowczan; Mikolaj Przydacz; Tomasz Wiatr; Klaudia Stangel-Wojcikiewicz; Piotr L Chłosta Journal: Cent European J Urol Date: 2015-09-26