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EnglishObjective: To evaluate the efficacy and safety of the Virtue® male sling (Coloplast, Humlebaek, Denmark) in a cohort of patients affected by post-prostatectomy stress urinary incontinence (SUI). Methods: All 29 consecutive patients treated with a Virtue male sling at our Institution between July 2012 and October 2013 were included in the present prospective, non-randomized study. Patients were evaluated preoperatively and at 1, 3, 6, 12, 24 and 36 months after surgery using a 24-h pad weight test, the International Consultation on Incontinence short-form questionnaire (ICIQ-SF), Urinary Symptom Profile (USP) questionnaire, a bladder diary, uroflowmetry and the Patient Global Impression of Improvement (PGI-I) and Patient Global Impression of Severity questionnaires. Results: The mean patient age was 65.5 years. A total of 72.4% of patients had preoperative mild incontinence (1-2 pads/day), while nine patients used 3-5 pads/day. There were a total of 17 complications, which occurred in 29 patients (58.6%); all were Clavien-Dindo grade I. At 12-month follow-up patients showed a significant improvement in 24-h pad test (128.6 vs 2.5 g), number of pads per day (2 vs 0), ICIQ-SF score (14.3 vs 0.9) and USP score for SUI (4 vs 0), and outcomes remained stable at 36 months. At last follow-up, the median score on the PGI-I questionnaire was 1 (very much better). Conclusion: The Virtue male sling is an effective treatment option for low to moderate post-prostatectomy incontinence.
Virtue male sling for post-prostatectomy stress incontinence : a prospective evaluation and mid-term outcomes / M. Ferro, D. Bottero, C. D'Elia, D.V. Matei, A. Cioffi, G. Cozzi, A. Serino, G. Cordima, R. Bianchi, P.G. Incarbone, A. Brescia, G. Musi, F. Fusco, S. Detti, V. Mirone, O. de Cobelli. - In: BJU INTERNATIONAL. - ISSN 1464-4096. - (2016 Oct 03). [Epub ahead of print]
| Titolo: | Virtue male sling for post-prostatectomy stress incontinence : a prospective evaluation and mid-term outcomes |
| Autori: | DE COBELLI, OTTAVIO (Ultimo) |
| Parole Chiave: | incontinence; male sling; quadratic; radical prostatectomy |
| Settore Scientifico Disciplinare: | Settore MED/24 - Urologia |
| Data di pubblicazione: | 3-ott-2016 |
| Rivista: | |
| Tipologia: | Article (author) |
| Digital Object Identifier (DOI): | http://dx.doi.org/10.1111/bju.13672 |
| Appare nelle tipologie: | 01 - Articolo su periodico |
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