Revista: | International braz j urol |
Base de datos: | PERIÓDICA |
Número de sistema: | 000434893 |
ISSN: | 1677-5538 |
Autores: | Lima, Salvador Vilar Correia1 Barros, Evandilson Guenes Campos de1 Vilar, Fabio de Oliveira1 Pinto, Flavia Cristina Morone2 Barros, Thomé Décio Pinheiro1 Truzzi, José Carlos3 Toledo, Luiz Gustavo M. de4 Kanasiro, Francisco5 Amaro, João Luiz6 |
Instituciones: | 1Universidade Federal de Pernambuco, Hospital das Clinicas, Recife, Pernambuco. Brasil 2Universidade Federal de Pernambuco, Centro de Ciencias da Saude, Recife, Pernambuco. Brasil 3Instituto do Cancer Arnaldo Vieira de Carvalho, Departamento de Urologia, Sao Paulo. Brasil 4Santa Casa de Misericordia de Sao Paulo, Sao Paulo. Brasil 5Hospital Santa Marcelina, Servico de Urologia, Porto Velho, Rondonia. Brasil 6Universidade Federal de Sao Paulo, Escola Paulista de Medicina, Sao Paulo. Brasil |
Año: | 2018 |
Periodo: | Nov-Dic |
Volumen: | 44 |
Número: | 6 |
País: | Brasil |
Idioma: | Inglés |
Tipo de documento: | Artículo |
Enfoque: | Aplicado, descriptivo |
Resumen en inglés | Purpose: The objective of the present study is to test the efficiency and practicality of a new artificial sphincter “BR - SL - AS – 904” in the control of urinary incontinence in post - PR patients and to evaluate their complications. Patients and Methods: Fifteen patients with incontinence after one year of radical prostatectomy were included prospectively. All patients underwent artificial urethral sphincter (AUS) implant “BR - SL - AS – 904” according to established technique. Independent variables such as free urinary flow, PAD weight test, ICIQ - SF score and urinary symptoms through the IPSS score were compared in different follow-up moments. Results: Patients submitted to AUS implantation did not present trans - operative or post - operative complications related to the surgical act such as: infection, hematoma, erosion or urinary retention. Device was inert to the body during the follow-up, showing an excellent adaptation of the patients, besides the easy handling. The mean age was 68.20 years 40% of the patients had systemic arterial hypertension, 6.7% diabetes mellitus, 6.7% were hypertensive and diabetic, 13.4% were hypertensive, had diabetes and hypercholesterolemia and 26.7% patients had no comorbidities. It was evidenced that the urinary flow peak during the follow-up remained stable. Decreased averages and median PAD weight test were 135.19 to 75.72 and 106.00 to 23.50, respectively. The IPSS score decreased and the quality of life increased (12.33 to 3.40 and 2.50 to 3.20 respectively). The ICQF - SF questionnaire score also showed a decrease, ranging from 16, 71 to 7.33. Conclusion: The artificial sphincter implant “BR - SL - AS 904” was reproducible, safe and effective in the control of urinary incontinence in post - PR patients |
Disciplinas: | Medicina |
Palabras clave: | Urología, Cirugía, Prostatectomía radical, Incontinencia urinaria, Esfínter artificial |
Keyword: | Urology, Surgery, Radical prostatectomy, Urinary incontinence, Artificial sphincter |
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