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http://hdl.handle.net/1843/69187| Type: | Artigo de Periódico |
| Title: | Artificial urinary sphincter for urinary incontinence after radical prostatectomy: a historical cohort from 2004 to 2015 |
| Authors: | Augusto Cesar Soares dos Santos Junior Luíza de Oliveira Rodrigues Daniela Castelo Azevedo Lélia Maria de Almeida Carvalho Mariana Ribeiro Fernandes Sandra de Oliveira Sapori Avelar Maria da Glória Cruvinel Horta Silvana Márcia Bruschi Kelles |
| Abstract: | This study aimed to retrospectively evaluate a cohort of patients with prostate cancer and persistent urinary incontinence after radical prostatectomy. From January 2004 to December 2015, eighty-six individuals were identified to have received an AUS implant, provided by a private nonprofit HMO operating in Belo Horizonte, Brazil. On total, there were 91 AUS implants, with a median interval between radical prostatectomy and AUS implant of 3.6 years (IQR 1.9 to 5.5). The rate of AUS cumulative survival, after a median follow-up of 4.1 years (IQR 1.7-7.2 years), was 44% (n=40). The median survival of AUS implants was 2.9 years (IQR 0.5-7.9 years). Thirty-seven AUS implants (40.7%) resulted in grade III surgical complications. There were 5 deaths at 2.1, 4.7, 5.7, 5.7 and 6.5 years of follow-up, but none due to causes directly associated to the AUS implant. Persistent severe incontinence was documented in 14 (15.3%) additional patients. From the 51 AUS implants which resulted in grade III surgical complications or persistent severe incontinence, 24 (47.1%) underwent surgical revisions. Explantation of the sphincter or its components was observed in 6 cases (25.0%). Mechanical failure, described as fluid loss and/or inability to recycle the AUS device, was observed in 4 devices (16.7%). In conclusion, although AUS implants are recommended as the gold-standard treatment of severe urinary incontinence after prostatectomy, the observed high rates of malfunction and grade III adverse events are a matter of concern warranting further assessment on the safety and efficacy of these devices. |
| Subject: | Neoplasias da Próstata Neoplasias Prostatectomia Incontinência Urinária |
| language: | eng |
| metadata.dc.publisher.country: | Brasil |
| Publisher: | Universidade Federal de Minas Gerais |
| Publisher Initials: | UFMG |
| metadata.dc.publisher.department: | MEDICINA - FACULDADE DE MEDICINA |
| Rights: | Acesso Aberto |
| metadata.dc.identifier.doi: | https://doi.org/10.1590/S1677-5538.IBJU.2016.0244 |
| URI: | http://hdl.handle.net/1843/69187 |
| Issue Date: | 2017 |
| metadata.dc.url.externa: | https://www.scielo.br/j/ibju/a/dbQcBJZ99QbBLg3pV9XRXHh/?lang=en |
| metadata.dc.relation.ispartof: | International Brazilian Journal of Urology |
| Appears in Collections: | Artigo de Periódico |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| Artificial urinary sphincter for urinary incontinence after radical prostatectomy_ a historical cohort from 2004 to 2015.pdf | 174.21 kB | Adobe PDF | View/Open |
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