| Journal: | International braz j urol |
| Database: | PERIÓDICA |
| System number: | 000434852 |
| ISSN: | 1677-5538 |
| Authors: | Giammò, Alessandro1 Ammirati, Enrico2 Tullio, Annarita3 Bodo, Gianni1 Manassero, Alberto1 Gontero, Paolo2 Carone, Roberto1 |
| Institutions: | 1Citta della Salute e della Scienza di Torino, Unita Spinale, Turín, Piemonte. Italia 2Citta della Salute e della Scienza di Torino, Ospedale Molinette, Turín, Piemonte. Italia 3Ospedale Universitario S. Maria della Misericordia di Udine, Unita di Igiene ed Epidemiologia Clinica, Udine, Friuli Venezia Giuli. Italia |
| Year: | 2019 |
| Season: | Ene-Feb |
| Volumen: | 45 |
| Number: | 1 |
| Country: | Brasil |
| Language: | Inglés |
| Document type: | Artículo |
| Approach: | Analítico, descriptivo |
| English abstract | Purpose: The aim of our study is to evaluate the efficacy and safety of ATOMS® system for the treatment of postoperative male stress urinary incontinence (SUI). Materials and methods: We retrospectively evaluated all patients treated at our institution for postoperative male SUI with ATOMS® implant. We excluded patients with low bladder compliance (< 20 mL / cmH2O), uncontrolled detrusor overactivity, detrusor underactivity (BCI < 100), urethral or bladder neck stricture and low cystometric capacity (< 200 mL). Results: From October 2014 to July 2017 we treated 52 patients, mean age 73.6 years. Most of them (92.3%) had undergone radical prostatectomy, 3.85% simple open prostatectomy, 3.85% TURP; 28.8% of patients had undergone urethral surgery, 11.5% adjuvant radiotherapy; 57.7% had already undergone surgical treatment for urinary incontinence. The average24 hours pad test was 411.6 g (180 – 1100). The mean follow-up was 20.1 months (8.1 – 41.5) 30.8% of patients were dry, 59.6% improved ≥ 50%, 7.7% improved < 50% and 1.9% unchanged. In total 73.1% reached social continence. There was a significant reduction of the 24 hours pad test and ICIQ - UI SF scores (p < 0.01). In the postoperative follow-up we detected complications in 8 patients (19%): 5 cases of displacement of the scrotal port, in 2 cases catheterization difficulties, one case of epididimitis and concomitant superficial wound infection; no prosthesis infection, nor explants. Radiotherapy, previous urethral surgery,previous incontinence surgery were not statistically related to social continence rates (p 0.65;p 0.11;p 0.11). Conclusions: The ATOMS® system is an effective and safe surgical treatment of mild and moderate male postoperative SUI with durable results in the short term |
| Disciplines: | Medicina |
| Keyword: | Urología, Cirugía, Prostatectomía radical, Incontinencia urinaria, Cabestrillo suburetral, Procedimientos quirúrgicos |
| Keyword: | Urology, Surgery, Radical prostatectomy, Urinary incontinence, Suburethral sling, Surgical procedures |
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