This study aimed to evaluate outcomes of ProACT™ balloons for the treatment of male stress urinary incontinence after radical prostatectomy. Included were 143 patients without a history of radiotherapy in whom these balloons were implanted between 2007 and 2016. Outcome was urinary continence: no pad or just one security pad per day was defined as successful. Preoperative incontinence was mild in 25%, moderate in 40%, and severe in 35% of patients. The Clavien-Dindo classification <30 days were: 6% grade I, 2% grade II, 2% grade IIIb. 90% of patients had no complication. After median 56 months of follow-up, 64% of patients were improved, including the 46% who were successfully treated. The ProACT™ device showed a clear beneficial continence outcome in patients with stress urinary incontinence after radical prostatectomy. The majority of patients was satisfied and perceived improvement ≥50% on daily pad use on the long term.

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Keywords stress urinary incontinence · prostatectomy · minimally invasive surgical procedures · postoperative complications, tress urine-incontinentie · prostatectomie · minimaal invasieve chirurgische procedures · postoperatieve complicaties
Persistent URL dx.doi.org/10.1007/s13629-018-00218-7, hdl.handle.net/1765/127151
Journal Tijdschrift voor Urologie
Citation
Noordhoff, T.C, Scheepe, J.R, & Blok, B.F.M. (2019). Tien jaar expertise met aanpasbare continentietherapie voor post-prostatectomie urine-incontinentie. Tijdschrift voor Urologie, 9(1), 9–15. doi:10.1007/s13629-018-00218-7