Adjustable Continence Therapy in women, middle term follow-up and a new technique for balloon positioning

Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie
B VayleuxL Le Normand

Abstract

Evaluation of the results of Adjustable Continence Therapy (ACT) in women by a retrospective one-center study and exposure of a technique: bladder neck retrovision. Between January 2001 and February 2009, 67 women had ACT implantation by the same surgeon for the indication of urinary incontinence by intrinsic sphincter deficiency, with mean age of 70.2 years. Mean follow-up was 24.8 months (1 to 89 months). Evaluation of functional results was realized with the research of urinary leakage when coughing or during abdominal thrust in the clinical exam, with the Urinary Symptom Profile (USP) questionnaire (since 2007), and with an analogical global satisfaction evaluation. More than 90% of women (n=67) have been improved at least at one medical consultation, and 60% (40/67) at last follow-up with a satisfaction index superior to 80% in 25 patients. Urinary leakage when coughing or doing abdominal thrust disappeared in 58% (36/62). An improvement of USP score was observed in 76% (19/25). Postoperative complications occurred in 37.3% (25 patients) with a mean period of 10.8 months after surgery. The ACT, indicated in stress urinary incontinence, is attractive because of the benefit-risk ratio. It could represent an alternative treat...Continue Reading

References

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Feb 15, 2008·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·Emmanuel Chartier-KastlerFrançois Haab
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Citations

Feb 22, 2014·Der Urologe. Ausg. A·A SoaveR Dahlem
Sep 14, 2014·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·F-A KaboréG Karsenty
Mar 21, 2015·World Journal of Urology·Véronique PhéEmmanuel Chartier-Kastler
Apr 14, 2015·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·F CourUNKNOWN le Comité d’Urologie et de Périnéologie de la Femme de l’AFU
Jun 16, 2014·Current Urology Reports·Geneviève Nadeau, Sender Herschorn
Oct 23, 2018·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·M NicolasP Costa

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