Volume 1, Issue 3, June 2013, Pages: 35-38
Received: May 21, 2013;
Published: Jun. 20, 2013
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Cassini. M. F., Department of Surgery and Anatomy, Faculty of Medicine of Ribeirao Preto, University of Sao Paulo, Brazil
Mazzo. A, Faculty of Nursing of Ribeirao Preto, University of Sao Paulo, Brazil
Tucci Jr. S., Department of Surgery and Anatomy, Faculty of Medicine of Ribeirao Preto, University of Sao Paulo, Brazil
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.
Cassini. M. F.,
Tucci Jr. S.,
Male Sling for Urinary Incontinence after Radical Prostatectomy: Inicial Results, Science Research.
Vol. 1, No. 3,
2013, pp. 35-38.
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