Abstract | PURPOSE: To report our intermediate experience in treating patients with severe incontinence using an adjustable perineal male sling with a tissue expander. MATERIALS AND METHODS: RESULTS: The mean age of the patients was 66.2 ± 7.3 (50-79) years and mean pad usage was 6.4 ± 0.6 per day. The mean follow-up time was 40.1 ± 23.2 (6-74) months. The balloon was postoperatively inflated on average with 11.6 ± 5.7 (5-25) mL. After the mean 40.1 months of follow-up, 16 of the 21 patients (76.2%) were dry (11 patients, 0 pads; 5 patients using safety pads), 3 patients (14%) had mild and 2 (9.8%) had moderate degree post- prostatectomy urinary incontinence (PPI). The average maximum urine flow rate of the patients was 15.6 ± 4.7 (10-31) mL/s. No residual urine was found. In 2 patients, all parts of the device were removed due to infection and discomfort, and in 3 patients only the inflation component was removed due to local scrotal infection. CONCLUSIONS: Our results show that using an adjustable perineal male sling with a tissue expander seems to be an efficient, and safe surgical treatment option in patients with PPI.
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Authors | Melih Balci, Altug Tuncel, Ovunc Bilgin, Yilmaz Aslan, Ali Atan |
Journal | International braz j urol : official journal of the Brazilian Society of Urology
(Int Braz J Urol)
2015 Mar-Apr
Vol. 41
Issue 2
Pg. 312-8
ISSN: 1677-6119 [Electronic] Brazil |
PMID | 26005973
(Publication Type: Journal Article)
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Topics |
- Aged
- Follow-Up Studies
- Humans
- Male
- Middle Aged
- Operative Time
- Prospective Studies
- Prostatectomy
(adverse effects)
- Prosthesis Implantation
(instrumentation, methods)
- Reproducibility of Results
- Suburethral Slings
- Surgical Mesh
- Time Factors
- Tissue Expansion Devices
- Treatment Outcome
- Urinary Incontinence
(etiology, surgery)
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