Treatment Outcomes of Transurethral Macroplastique Injection for Postprostatectomy Incontinence
Korean Journal of Urology
; : 182-189, 2014.
Article
en En
| WPRIM
| ID: wpr-65241
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE:
We investigated the efficacy of transurethral injection of Macroplastique bulking agent (Uroplasty) for male stress urinary incontinence (SUI) after prostate surgery. MATERIALS ANDMETHODS:
This retrospective review included men with SUI treated by transurethral injection for symptoms resulting from prostate surgery. Patients were evaluated at 1 month and 6 months after injection by determining the number of pads used per day and changes in incontinence symptoms. Treatment success was defined as use of 1 pad or fewer per day combined with subjective symptom improvement.RESULTS:
The study population comprised 30 men with a mean age of 66.1+/-5.3 years. Of the 30 patients, 24 (80.0%) underwent prostate cancer surgery and the remaining 6 (20.0%) underwent surgery for benign prostatic hyperplasia. The preinjection pad number was 2.9+/-1.9 pads per day. After injection treatment, the mean follow-up period was 9.3+/-12.7 months and the success rate was 43% (13/30) at 1 month and 32% (6/19) at 6 months. Injection was more likely to result in a successful outcome in patients with no preinjection radiation treatment history and higher abdominal leak point pressure (ALPP) than in those with a previous history of radiation treatment and lower ALPP, although this result was not statistically significant. Acute urinary retention occurred in 5 patients (17%).CONCLUSIONS:
Transurethral Macroplastique injection treatment is a relatively non-invasive treatment method for male SUI with a success rate of 43% at 1 month and 32% at 6 months. Patients with a higher ALPP and no previous history of radiation therapy may experience better treatment outcomes.Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Próstata
/
Hiperplasia Prostática
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Neoplasias de la Próstata
/
Uretra
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Incontinencia Urinaria
/
Estudios Retrospectivos
/
Estudios de Seguimiento
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Retención Urinaria
/
Dimetilpolisiloxanos
/
Métodos
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Humans
/
Male
Idioma:
En
Revista:
Korean Journal of Urology
Año:
2014
Tipo del documento:
Article