| Safety and efficacy of periurethral constrictor implantation for the treatment of post-radical prostatectomy incontinence. | |
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MedLine Citation:
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PMID: 22546396 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To assess safety and efficacy of the periurethral constrictor for the treatment of postprostatectomy urinary incontinence. METHODS: Periurethral constrictor is a minimally invasive, low-cost (€ 2000) device based on an adjustable occlusive mechanism. From December 2004 to March 2010 the device was implanted in 66 patients with mild to severe incontinence (3 or more pads per day) through a 3- to 5-cm perineal incision. Median surgical time was 35 minutes (range 25-60). Discharge occurred on day 1 after removing the indwelling urethral catheter. RESULTS: In 4 cases (6%), the device was removed because of infection/periurethral erosion. At 18 months, 62 patients were valuable; continence was recovered totally in 49 cases (79%), partially in 9 (15%) cases, and remained unchanged in 4 (6%). No one needed self-catheterization to empty the bladder. CONCLUSION: Periurethral constrictor improved continence in most of the patients. Nevertheless, a larger series and longer follow-up are needed to confirm safety and to test durability. |
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Authors:
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Carlo Introini; Angelo Naselli; Giovanni Zaninetta; Luca Timossi; Salvatore Guaglianone; Giuseppe Simone; Rocco Papalia; Michele Gallucci; Paolo Puppo |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Urology Volume: 79 ISSN: 1527-9995 ISO Abbreviation: Urology Publication Date: 2012 May |
Date Detail:
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Created Date: 2012-05-01 Completed Date: 2012-07-02 Revised Date: 2013-01-29 |
Medline Journal Info:
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Nlm Unique ID: 0366151 Medline TA: Urology Country: United States |
Other Details:
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Languages: eng Pagination: 1175-8 Citation Subset: IM |
Copyright Information:
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Copyright © 2012 Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Urology, National Institute for Cancer Research, Genoa, Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Follow-Up Studies Humans Male Middle Aged Prostatectomy / adverse effects* Prostatic Neoplasms / surgery* Prostheses and Implants* / adverse effects Prosthesis Implantation Recovery of Function* Treatment Outcome Urethra Urinary Incontinence / etiology, surgery* |
| Comments/Corrections | |
Comment In:
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J Urol. 2013 Jan;189(1):228-9
[PMID:
23235237
]
Urology. 2012 May;79(5):1178-9; author reply 1179 [PMID: 22546397 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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