Pedro SIE, Escudero R, Moreno L

Language: Spanish
References: 13
Page: 4-13
PDF size: 1139.84 Kb.

ABSTRACT

Objective: The objective of this first preliminary study is to evaluate outcomes and complications following the implantation of the ZSI 375 PF artificial urinary sphincter for urinary incontinence in men secondary to a surgical complication (radical prostatectomy, transurethral resection of the prostate (TURP), endoscopic internal urethrotomy, spinal cord injuries). Methods: A longitudinal, prospective, nonrandomised study of male patients who developed urinary incontinence following a surgical procedure was conducted from December 2016 to May 2018. Results: Sixteen patients were studied from December 2016 to May 2018. The mean age was 68.12 years (range: 52-81 years). Prior to implantation, 13 of the 16 patients (81.25 %) had severe incontinence, while the remaining three (18.75 %) suffered from moderate incontinence. After implantation of the ZSI 375 artificial urinary sphincter, 14 of the 16 patients (87.5 %) were satisfactorily continent versus pre-implantation, while the remaining two patients (12.5 %) were incontinent. The level of continence after the implant was as follows: 6/16 patients (37.5 %) were completely continent, 6/16 patients (37.5 %) with social continence, 2/16 patients (12.5 %) with moderate incontinence and 2/16 patients (12.5 %) with severe incontinence. Patient tolerance and satisfaction varied from patient to patient due to each subject's physiological adaptability and level of continence. The primary cause of urinary incontinence (UI) was radical prostatectomy (6/16, 37.5 %) followed by TURP (3/16, 18.75 %) and retropubic prostatectomy (3/16, 18.75 %). Although no peroperative complications were reported, three patients (18.75 %) sought postoperative medical care: two (12.5 %) due to scrotal infection and the other (6.25 %) due to urethral erosion plus perineal abscess, eliciting the removal of the device. One patient (6.25 %) required further surgery to calibrate the pressure of the compensation pump, thereby improving his level of continence.

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