ProACT for stress urinary incontinence after radical prostatectomy.
BACKGROUND
Stress urinary incontinence is a bothersome complication of radical prostatectomy. Surgical treatment consists of the artificial urinary sphincter (AUS), the male sling and bulk injections. This study presents the results of the first series of implantations of ProACT in the Netherlands.


METHODS
A non-validated questionnaire was sent to 29 male patients implanted with ProACT to determine Stamey score, pad count and questions about quality of life and satisfaction. Complications, revisions and explantations were registered.


RESULTS
Mean follow-up was 41 months. Based on Stamey score four patients are continent at the end and nine patients according to the pad count. The average pad count decreased significantly. Remarkable was the high rate of dislocations and revisions and patients' satisfaction.


CONCLUSIONS
ProACT is a less invasive treatment compared to the AUS. However, the procedure is associated with a substantial revision and explantation rate. ProACT can be part of a so-called step-up approach before opting for a more invasive treatment.
Martens
F M J
FM
Department of Urology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands. F.Martens@uro.umcn.nl
Lampe
M I
MI
Heesakkers
J P F A
JP
D000368:Aged; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D011468:Prostatectomy / Q000009:adverse effects*; D019736:Prostheses and Implants; D011795:Surveys and Questionnaires; D014550:Urinary Incontinence, Stress / Q000209:etiology* / Q000601:surgery*