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ProACT for stress urinary incontinence after radical prostatectomy
F M J Martens1, M I Lampe, J P F A Heesakkers
1Department of Urology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands. F.Martens@uro.umcn.nl
Urologia Internationalis
|June 10, 2009
Summary
ProACT implantation for stress urinary incontinence after prostatectomy shows mixed results. While some patients improved, a high rate of complications and revisions was observed, suggesting its use before more invasive treatments.
Area of Science:
- Urology
- Surgical Innovation
Background:
- Stress urinary incontinence (SUI) is a common complication following radical prostatectomy.
- Current surgical options for male SUI include artificial urinary sphincter (AUS), male sling, and bulk injections.
Purpose of the Study:
- To evaluate the outcomes of ProACT device implantation for male SUI in the Netherlands.
- To assess patient-reported outcomes, complications, and satisfaction after ProACT implantation.
Main Methods:
- A questionnaire was administered to 29 male patients who received ProACT implants.
- Data collected included Stamey score, pad count, quality of life, and patient satisfaction.
- Complications, revisions, and explantations were systematically recorded.
Main Results:
- Mean follow-up was 41 months.
- Continence rates varied: 4 patients achieved continence by Stamey score, and 9 by pad count.
- A significant decrease in average pad count was noted, alongside a high rate of dislocations, revisions, and notable patient satisfaction.
Conclusions:
- ProACT offers a less invasive alternative to AUS for male SUI.
- The procedure is associated with a considerable rate of revisions and explantations.
- ProACT may be considered as part of a step-up treatment strategy prior to more invasive interventions.
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