Prostatic Diseases and Male Voiding DysfunctionArgus-T Sling in 182 Male Patients: Short-term Results of a Multicenter Study
Section snippets
Patients
The records of 182 patients treated with the Argus-T sling at 4 institutions since June 2008 to March 2013 were evaluated.
Eligible patients had PPI after radical prostatectomy, TURP, or after failure of a previous AUS, Adjustable Continence Therapy, urethral constrictor, or other male slings. We considered eligible all patients having persistent PPI at least 6-12 months after the surgery. The patients quantified their PPI according to 24 hours pad test as follows: 1-2 pads per 24 hours as mild
Patient Characteristics
A total of 182 patients with SUI were treated with Argus-T sling with trans-obturator approach at 5 urologic centers from June 2008 to March 2013. The median age is 71 years (range 50-86 years), and the median follow-up is 22 months (range 1-59 months) (Table 1).
Twenty-one of 182 patients (11.6%) had mild incontinence (1-2 pads per 24 hours), 96 of 182 patients (52.7%) had moderate incontinence (3-5 pads per 24 hours), and 65 of 182 patients (35.7%) had severe incontinence (more than 5 pads per
Comment
In mini-invasive approaches, such as robotic and laparoscopic surgery, PPI represents an important postoperative complication, causing a decrease in QoL of these patients.1, 12
Percentage of PPI at 24 months after surgical operation ranges between 1% and 40% of patients who underwent radical prostatectomy.2, 3
It is known that PPI is caused by a reduced urethral resistance to abdominal pressure, secondary to the intrinsic sphincter deficiency.13, 14, 15
According to the international guidelines,
Conclusion
This study represents the first report that shows short-term results of Argus-T positioning in a large cohort of patients with SUI. Argus-T seems to offer good outcomes in patients with mild and moderate PPI.
In case of previous radiotherapy, Argus-T is associated with a low possibility to recover a satisfactory continence.
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Financial Disclosure: The authors declare that they have no relevant financial interests.