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Argus T® versus Advance® Sling for postprostatectomy urinary incontinence: A randomized clinical trial
OBJECTIVE: To compare the results of two slings, Argus T® and Advance®, for the treatment of postprostatectomy urinary incontinence (PPUI). Material and Methods: From December 2010 to December 2011, 22 patients with PPUI were randomized as follows: 11 (mean age 62.09(±5.30)) underwent treatment with...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sociedade Brasileira de Urologia
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4920571/ https://www.ncbi.nlm.nih.gov/pubmed/27286117 http://dx.doi.org/10.1590/S1677-5538.IBJU.2015.0075 |
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author | Lima, João Paulo Cunha Pompeo, Antonio Carlos Lima Bezerra, Carlos Alberto |
author_facet | Lima, João Paulo Cunha Pompeo, Antonio Carlos Lima Bezerra, Carlos Alberto |
author_sort | Lima, João Paulo Cunha |
collection | PubMed |
description | OBJECTIVE: To compare the results of two slings, Argus T® and Advance®, for the treatment of postprostatectomy urinary incontinence (PPUI). Material and Methods: From December 2010 to December 2011, 22 patients with PPUI were randomized as follows: 11 (mean age 62.09(±5.30)) underwent treatment with Advance® and 11 (mean age 62.55(±8.54)) with Argus T®. All patients were evaluated preoperatively with urodynamic testing, quality of life questionnaire (ICIQ-SF), voiding diary and 24-hour pad test. Exclusion criteria were: neurological diseases, severe detrusor overactivity and urethral stenosis. Evaluation was performed at 6, 12 and 18 months after the surgery. After implantation of the Argus T® sling, patients who experienced urine leakage equal to or greater than the initial volume underwent adjustment of the sling tension. Results were statistically analyzed using the Fisher’s test, Kolmogorov-Smirnov test, Friedman’s non-parametric test or the Mann-Whitney test. RESULTS: Significant improvement of the 24-hour pad test was observed with the Argus T® sling (p=0.038) , With regard to the other parameters, there was no significant difference between the two groups. Removal of the Argus T® device due to perineal pain was performed in one patient (9%). Despite non uniform results, both devices were considered useful to improve quality of life (ICIQ-SF): Argus T® (p=0.018) and Advance® (p=0.017). CONCLUSIONS: Better results were observed in the 24h pad test and in levels of satisfaction with the Argus T® device. Both slings contributed to improve quality of life (ICIQ-SF), with acceptable side effects. |
format | Online Article Text |
id | pubmed-4920571 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Sociedade Brasileira de Urologia |
record_format | MEDLINE/PubMed |
spelling | pubmed-49205712016-06-27 Argus T® versus Advance® Sling for postprostatectomy urinary incontinence: A randomized clinical trial Lima, João Paulo Cunha Pompeo, Antonio Carlos Lima Bezerra, Carlos Alberto Int Braz J Urol Original Article OBJECTIVE: To compare the results of two slings, Argus T® and Advance®, for the treatment of postprostatectomy urinary incontinence (PPUI). Material and Methods: From December 2010 to December 2011, 22 patients with PPUI were randomized as follows: 11 (mean age 62.09(±5.30)) underwent treatment with Advance® and 11 (mean age 62.55(±8.54)) with Argus T®. All patients were evaluated preoperatively with urodynamic testing, quality of life questionnaire (ICIQ-SF), voiding diary and 24-hour pad test. Exclusion criteria were: neurological diseases, severe detrusor overactivity and urethral stenosis. Evaluation was performed at 6, 12 and 18 months after the surgery. After implantation of the Argus T® sling, patients who experienced urine leakage equal to or greater than the initial volume underwent adjustment of the sling tension. Results were statistically analyzed using the Fisher’s test, Kolmogorov-Smirnov test, Friedman’s non-parametric test or the Mann-Whitney test. RESULTS: Significant improvement of the 24-hour pad test was observed with the Argus T® sling (p=0.038) , With regard to the other parameters, there was no significant difference between the two groups. Removal of the Argus T® device due to perineal pain was performed in one patient (9%). Despite non uniform results, both devices were considered useful to improve quality of life (ICIQ-SF): Argus T® (p=0.018) and Advance® (p=0.017). CONCLUSIONS: Better results were observed in the 24h pad test and in levels of satisfaction with the Argus T® device. Both slings contributed to improve quality of life (ICIQ-SF), with acceptable side effects. Sociedade Brasileira de Urologia 2016 /pmc/articles/PMC4920571/ /pubmed/27286117 http://dx.doi.org/10.1590/S1677-5538.IBJU.2015.0075 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Lima, João Paulo Cunha Pompeo, Antonio Carlos Lima Bezerra, Carlos Alberto Argus T® versus Advance® Sling for postprostatectomy urinary incontinence: A randomized clinical trial |
title | Argus T® versus Advance® Sling for postprostatectomy urinary incontinence: A randomized clinical trial |
title_full | Argus T® versus Advance® Sling for postprostatectomy urinary incontinence: A randomized clinical trial |
title_fullStr | Argus T® versus Advance® Sling for postprostatectomy urinary incontinence: A randomized clinical trial |
title_full_unstemmed | Argus T® versus Advance® Sling for postprostatectomy urinary incontinence: A randomized clinical trial |
title_short | Argus T® versus Advance® Sling for postprostatectomy urinary incontinence: A randomized clinical trial |
title_sort | argus t® versus advance® sling for postprostatectomy urinary incontinence: a randomized clinical trial |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4920571/ https://www.ncbi.nlm.nih.gov/pubmed/27286117 http://dx.doi.org/10.1590/S1677-5538.IBJU.2015.0075 |
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