[Paraurethral adjustable continence therapy device (Pro-ACT) in the treatment of urinary incontinence after prostatic surgery].
OBJECTIVE
Prostate cancer early detection campaigns have led to the diagnosis of a greater number of patients with organ-confined disease candidates for intention-to-cure treatment. Radical prostatectomy is one of these treatments; despite the technical advances with the development of laparoscopic or robotic operations it still has urine incontinence as a side effect affecting patient's quality of life.


RESULTS
Based on the experience in the Urology Department at Hospital La Paz we describe the technique and our results, comparing with a bibliographic review of other techniques used for the treatment of urinary incontinence after radical prostatectomy from the Medline database.


CONCLUSIONS
The insertion of the paraurethral ProACT is the treatment of choice for mild-moderate incontinence after radical prostatectomy in our environment due to its high success rate and low morbidity, technical easiness, and adequate cost and resources requirements.
García Matres
María Justa
MJ
Servicio de Urología, Hospital Universitario La Paz, 28046 Madrid, España. mjurologa@hotmail.com
Cansino Alcaide
José Ramón
JR
Monasterio
Sara
S
Rodríguez de Bethencourt
Fermín
F
Hidalgo Togores
Luis
L
de la Peña Barthel
Jesús
J
D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011468:Prostatectomy / Q000009:adverse effects*; D011471:Prostatic Neoplasms / Q000601:surgery; D012189:Retrospective Studies; D014521:Urethra / Q000033:anatomy & histology / Q000502:physiology; D001743:Urinary Bladder / Q000502:physiology; D014546:Urinary Catheterization / Q000295:instrumentation* / Q000379:methods; D014549:Urinary Incontinence / Q000209:etiology / Q000601:surgery*; D014554:Urination / Q000502:physiology