Transobturator male sling TOMS for the treatment of stress post-prostatectomy incontinence, initial experience and results with one year's experience
Int. braz. j. urol
; 35(6): 706-715, Nov.-Dec. 2009. ilus
Article
em En
| LILACS
| ID: lil-536803
Biblioteca responsável:
BR1.1
ABSTRACT
Purpose:
Post-prostatectomy incontinence remains a problem, even in minor or moderate degrees. In order to minimize surgical morbidity and costs, sling procedures have been proposed. The authors have developed a new transobturator male sling procedure and report their results after one-year experience. Materials andmethods:
A prospective multicenter study was conducted in 50 patients with minor or moderate post-prostatectomy incontinence. Evaluation of TOMS two arms bulbar sling was based on clinical form assessment, The International Consultation on Incontinence Questionnaire (ICIQ) and short-form (SF) 36 questionnaire pre and postoperatively and at 3, 6, 9 and 12 months.Results:
The surgical procedure was considered easy to perform and no post-surgery complication was reported except for one retention. The median number of pads per day decreased significantly from 2 pads before surgery (95 percent CI 2 - 3) to 1 during the follow-up period (95 percent CI 0 - 2 at 360 days), and at 3 months patients using none or one pad per day were 30 percent and 32 percent respectively. The SF 36 continence and quality of life score improved from a median of 100 (95 percent CI 83 - 133) to 300 (95 percent CI 167 - 375), and the median ICIQ incontinence and quality of life score decreased from 15 (95 percent CI 14 - 16) to 8 (95 percent CI 5 - 12) one year after surgery.Conclusion:
The transobturator perineal male sling TOMS is an attractive simple sling technique for moderate or minor post-prostatectomy stress incontinence and offers an improvement in the quality of life.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Prostatectomia
/
Incontinência Urinária por Estresse
/
Slings Suburetrais
Tipo de estudo:
Clinical_trials
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
Aspecto:
Patient_preference
Limite:
Aged
/
Humans
/
Male
Idioma:
En
Revista:
Int. braz. j. urol
Assunto da revista:
UROLOGIA
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
França
País de publicação:
Brasil