Stress urinary incontinence is a significant potential source of morbidity after radical prostatectomy or radiation therapy for prostate cancer. At present, artificial urinary sphincter remains the preferred therapeutic option. However, this technique is not free from complications. In an attempt to avoid such complications, male sling has been suggested for use in patients with mild degrees of stress incontinence.
This is a prospective collection of pre-defined parameters on the treatment of male stress urinary incontinence by male sling or artificial urinary sphincter. This registry includes: 1. Pre-operative urodynamic assessment, cystoscopy and other preoperative clinical parameters (i.e. age, body mass index, bladder neck contracture treated, urgency, 24h-PW, cystometry and pressure/flow, repositioning test) 2. Description of surgical technique 3. Continence is evaluated 3 months after surgery, avoiding the potential confounding impact of the initial tissue edema (Cure was defined as no pad use, and all other cases were defined as failures) 4. Evaluation of long term functional outcome (efficacy, late complications and the loss of continence) Surgery is performed with: Device: Virtue® Device: Advance® and AdvanceXP® Device: Artificial urinary sphincter AMS-800® Device: Invance® Male Incontinence Sling A prospective functional follow-up, with 24h-Pad Weight test and ICIQ-UI SF, is carried out 3-monthly for the first year and 6-monthly thereafter, parallel to the oncological follow-up.
Study Type
OBSERVATIONAL
Enrollment
400
Artificial urianry sphincter
Male sling
Male sling
Male sling
Argimiro Collado
Valencia, Spain
RECRUITINGSuccess rate
Cure is defined as no pad use
Time frame: 3 months
Continence improvement
Assessed by means of the 24-Hour Pad Weight test
Time frame: 15 years
Lower tract urinary symptoms modification after male surgery incontinence
Assessed with IPSS questionaires
Time frame: 15 years
Quality of Life in patients with male surgery incontinence
Assessed with "International Consultation on Incontinence Questionnaire -- Short Form (ICIQ-SF)" questionaires
Time frame: 15 years
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