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Long-term results of the implantation of the AMS 800 artificial sphincter for post-prostatectomy incontinence: a single-center experience

OBJECTIVES: Report the long-term outcomes of the AMS 800 artificial sphincer (AS) for the treatment post-prostatectomy incontinence (PPI) in a single center in Brazil. MATERIALS AND METHODS: Clinical data from patients who underwent the procedure were retrieved from the medical records of individual...

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Autores principales: Sacomani, Carlos Alberto Ricetto, Zequi, Stênio de Cássio, da Costa, Walter Henriques, Benigno, Bruno Santos, Campos, Rodrigo Sousa Madeira, Bachega, Wilson, Guimarães, Gustavo Cardoso
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Urologia 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5815541/
https://www.ncbi.nlm.nih.gov/pubmed/29211407
http://dx.doi.org/10.1590/S1677-5538.IBJU.2017.0165
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author Sacomani, Carlos Alberto Ricetto
Zequi, Stênio de Cássio
da Costa, Walter Henriques
Benigno, Bruno Santos
Campos, Rodrigo Sousa Madeira
Bachega, Wilson
Guimarães, Gustavo Cardoso
author_facet Sacomani, Carlos Alberto Ricetto
Zequi, Stênio de Cássio
da Costa, Walter Henriques
Benigno, Bruno Santos
Campos, Rodrigo Sousa Madeira
Bachega, Wilson
Guimarães, Gustavo Cardoso
author_sort Sacomani, Carlos Alberto Ricetto
collection PubMed
description OBJECTIVES: Report the long-term outcomes of the AMS 800 artificial sphincer (AS) for the treatment post-prostatectomy incontinence (PPI) in a single center in Brazil. MATERIALS AND METHODS: Clinical data from patients who underwent the procedure were retrieved from the medical records of individuals with more than 1 year of follow-up from May 2001 to January 2016. Continence status (number of pads that was used), complications (erosion or extrusion, urethral atrophy, and infection), malfunctions, and need for secondary implantation were evaluated. The relationship between complications and prior or subsequent radiation therapy (RT) was also examined. RESULTS: From May 2001 to January 2016, 121 consecutive patients underwent AS implantation for PPI at an oncological referral center in Brazil. At the last visit, the AS remained implanted in 106 patients (87.6%), who reported adequate continence status (maximum of 1 pad/day). Eight-two subjects (67.8%) claimed not to be using pads on a regular basis at the final visit (completely dry). Revision occurred in 24 patients (19.8%). Radiation therapy (RT) for prostate cancer following radical prostatectomy was used in 47 patients before or after AS placement. Twelve patients with a history of RT had urethral erosion compared with 3 men without RT (p=0.004). CONCLUSION: Considering our outcomes, we conclude that AS implantation yields satisfactory results for the treatment of PPI and should remain the standard procedure for these patients. Radiation therapy is a risk factor for complication.
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spelling pubmed-58155412018-02-22 Long-term results of the implantation of the AMS 800 artificial sphincter for post-prostatectomy incontinence: a single-center experience Sacomani, Carlos Alberto Ricetto Zequi, Stênio de Cássio da Costa, Walter Henriques Benigno, Bruno Santos Campos, Rodrigo Sousa Madeira Bachega, Wilson Guimarães, Gustavo Cardoso Int Braz J Urol Original Article OBJECTIVES: Report the long-term outcomes of the AMS 800 artificial sphincer (AS) for the treatment post-prostatectomy incontinence (PPI) in a single center in Brazil. MATERIALS AND METHODS: Clinical data from patients who underwent the procedure were retrieved from the medical records of individuals with more than 1 year of follow-up from May 2001 to January 2016. Continence status (number of pads that was used), complications (erosion or extrusion, urethral atrophy, and infection), malfunctions, and need for secondary implantation were evaluated. The relationship between complications and prior or subsequent radiation therapy (RT) was also examined. RESULTS: From May 2001 to January 2016, 121 consecutive patients underwent AS implantation for PPI at an oncological referral center in Brazil. At the last visit, the AS remained implanted in 106 patients (87.6%), who reported adequate continence status (maximum of 1 pad/day). Eight-two subjects (67.8%) claimed not to be using pads on a regular basis at the final visit (completely dry). Revision occurred in 24 patients (19.8%). Radiation therapy (RT) for prostate cancer following radical prostatectomy was used in 47 patients before or after AS placement. Twelve patients with a history of RT had urethral erosion compared with 3 men without RT (p=0.004). CONCLUSION: Considering our outcomes, we conclude that AS implantation yields satisfactory results for the treatment of PPI and should remain the standard procedure for these patients. Radiation therapy is a risk factor for complication. Sociedade Brasileira de Urologia 2018 /pmc/articles/PMC5815541/ /pubmed/29211407 http://dx.doi.org/10.1590/S1677-5538.IBJU.2017.0165 Text en https://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
Sacomani, Carlos Alberto Ricetto
Zequi, Stênio de Cássio
da Costa, Walter Henriques
Benigno, Bruno Santos
Campos, Rodrigo Sousa Madeira
Bachega, Wilson
Guimarães, Gustavo Cardoso
Long-term results of the implantation of the AMS 800 artificial sphincter for post-prostatectomy incontinence: a single-center experience
title Long-term results of the implantation of the AMS 800 artificial sphincter for post-prostatectomy incontinence: a single-center experience
title_full Long-term results of the implantation of the AMS 800 artificial sphincter for post-prostatectomy incontinence: a single-center experience
title_fullStr Long-term results of the implantation of the AMS 800 artificial sphincter for post-prostatectomy incontinence: a single-center experience
title_full_unstemmed Long-term results of the implantation of the AMS 800 artificial sphincter for post-prostatectomy incontinence: a single-center experience
title_short Long-term results of the implantation of the AMS 800 artificial sphincter for post-prostatectomy incontinence: a single-center experience
title_sort long-term results of the implantation of the ams 800 artificial sphincter for post-prostatectomy incontinence: a single-center experience
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5815541/
https://www.ncbi.nlm.nih.gov/pubmed/29211407
http://dx.doi.org/10.1590/S1677-5538.IBJU.2017.0165
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