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Male Sling for Urinary Incontinence after Radical Prostatectomy: Inicial Results

Received: 21 May 2013    Accepted:     Published: 20 June 2013
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Abstract

Introduction: Urinary incontinence after radical prostatectomy is a major complication with profound impact on the social life of the patients. we report inicial cases of patients treated with male sling implant. Methods: Eight patients with urinary incontinence after radical prostatectomy underwent to male sling (Argus-T® - Promedon) implant. We analyzed the age, the number of transurethral resection previously of the implant, the degree of incontinence before the sling (by urodynamics) and the subjective satisfaction with the surgery by telephone. Results: The patients (08) were submitted to a radical retropubic prostatectomy for localized prostate cancer. All incontinent patients developed stenosis of vesico-urethral anastomosis and were underwent transurethral resection of the anastomotic fibrosis (ranging from one to three procedures). Five patients had moderate to severe urinary incontinence before the procedures. After the implant, five pa-tients had no improvement in the degree of incontinence, three patients had a subjective improvement, two of them were completely dry. These, previously, had the lowest degree of incontinence in the objective analysis (urodynamics). Conclu-sion: The urinary incontinence after prostatectomy is a morbidity with challenging treatment. The male sling is a good method for mild cases and motivated patients, not being the first choice for more severe cases.

DOI 10.11648/j.sr.20130103.11
Published in Science Research (Volume 1, Issue 3, June 2013)
Page(s) 35-38
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Male Sling, Urinary Incontinence, Radical Prostatectomy Complication

References
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[3] Rudy DC, Woodside JR, Crawford ED. Urodynamic evaluation of incontinence in patients undergoing modified Campbell radical retropubic prostatectomy: a prospective study. J Urol. 1984;132(4):708–712.
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Author Information
  • Department of Surgery and Anatomy, Faculty of Medicine of Ribeirao Preto, University of Sao Paulo, Brazil

  • Faculty of Nursing of Ribeirao Preto, University of Sao Paulo, Brazil

  • Department of Surgery and Anatomy, Faculty of Medicine of Ribeirao Preto, University of Sao Paulo, Brazil

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  • APA Style

    Cassini. M. F., Mazzo. A, Tucci Jr. S. (2013). Male Sling for Urinary Incontinence after Radical Prostatectomy: Inicial Results. Science Research, 1(3), 35-38. https://doi.org/10.11648/j.sr.20130103.11

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    Cassini. M. F.; Mazzo. A; Tucci Jr. S. Male Sling for Urinary Incontinence after Radical Prostatectomy: Inicial Results. Sci. Res. 2013, 1(3), 35-38. doi: 10.11648/j.sr.20130103.11

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    AMA Style

    Cassini. M. F., Mazzo. A, Tucci Jr. S. Male Sling for Urinary Incontinence after Radical Prostatectomy: Inicial Results. Sci Res. 2013;1(3):35-38. doi: 10.11648/j.sr.20130103.11

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  • @article{10.11648/j.sr.20130103.11,
      author = {Cassini. M. F. and Mazzo. A and Tucci Jr. S.},
      title = {Male Sling for Urinary Incontinence after Radical Prostatectomy: Inicial Results},
      journal = {Science Research},
      volume = {1},
      number = {3},
      pages = {35-38},
      doi = {10.11648/j.sr.20130103.11},
      url = {https://doi.org/10.11648/j.sr.20130103.11},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.sr.20130103.11},
      abstract = {Introduction: Urinary incontinence after radical prostatectomy is a major complication with profound impact on the social life of the patients. we report inicial cases of patients treated with male sling implant. Methods: Eight patients with urinary incontinence after radical prostatectomy underwent to male sling (Argus-T® - Promedon) implant. We analyzed the age, the number of transurethral resection previously of the implant, the degree of incontinence before the sling (by urodynamics) and the subjective satisfaction with the surgery by telephone. Results: The patients (08) were submitted to a radical retropubic prostatectomy for localized prostate cancer. All incontinent patients developed stenosis of vesico-urethral anastomosis and were underwent transurethral resection of the anastomotic fibrosis (ranging from one to three procedures). Five patients had moderate to severe urinary incontinence before the procedures. After the implant, five pa-tients had no improvement in the degree of incontinence, three patients had a subjective improvement, two of them were completely dry. These, previously, had the lowest degree of incontinence in the objective analysis (urodynamics). Conclu-sion: The urinary incontinence after prostatectomy is a morbidity with challenging treatment. The male sling is a good method for mild cases and motivated patients, not being the first choice for more severe cases.},
     year = {2013}
    }
    

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  • TY  - JOUR
    T1  - Male Sling for Urinary Incontinence after Radical Prostatectomy: Inicial Results
    AU  - Cassini. M. F.
    AU  - Mazzo. A
    AU  - Tucci Jr. S.
    Y1  - 2013/06/20
    PY  - 2013
    N1  - https://doi.org/10.11648/j.sr.20130103.11
    DO  - 10.11648/j.sr.20130103.11
    T2  - Science Research
    JF  - Science Research
    JO  - Science Research
    SP  - 35
    EP  - 38
    PB  - Science Publishing Group
    SN  - 2329-0927
    UR  - https://doi.org/10.11648/j.sr.20130103.11
    AB  - Introduction: Urinary incontinence after radical prostatectomy is a major complication with profound impact on the social life of the patients. we report inicial cases of patients treated with male sling implant. Methods: Eight patients with urinary incontinence after radical prostatectomy underwent to male sling (Argus-T® - Promedon) implant. We analyzed the age, the number of transurethral resection previously of the implant, the degree of incontinence before the sling (by urodynamics) and the subjective satisfaction with the surgery by telephone. Results: The patients (08) were submitted to a radical retropubic prostatectomy for localized prostate cancer. All incontinent patients developed stenosis of vesico-urethral anastomosis and were underwent transurethral resection of the anastomotic fibrosis (ranging from one to three procedures). Five patients had moderate to severe urinary incontinence before the procedures. After the implant, five pa-tients had no improvement in the degree of incontinence, three patients had a subjective improvement, two of them were completely dry. These, previously, had the lowest degree of incontinence in the objective analysis (urodynamics). Conclu-sion: The urinary incontinence after prostatectomy is a morbidity with challenging treatment. The male sling is a good method for mild cases and motivated patients, not being the first choice for more severe cases.
    VL  - 1
    IS  - 3
    ER  - 

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