Treatment of post-prostate surgery urinary incontinence with the periurethral constrictor: a retrospective analysis.
OBJECTIVE
In this study, we present safety and efficacy data for a surgical alternative for the treatment of postprostate surgery urinary incontinence, based on the use of the periurethral constrictor, a two-part device--constrictor cuff and self-sealing valve with a tube--activated by injection of saline solution.


METHODS
From May 2001 to October 2007, 30 patients with postprostate surgery urinary incontinence were submitted to implantation of the periurethral constrictor.


RESULTS
The mean follow-up was 42.1 months (range, 13-72). Twenty-two (73.3%) of the patients had functional devices and were socially continent. Among them, 20 patients voided spontaneously, whereas two performed intermittent catheterization. Revisions to exchange leaking valves were necessary in 4 cases, and since then these patients have been socially continent. In this series, with the exception of 4 cases of erosion, 3 cases of infection that required complete removal of the devices, and 1 case of detrusor hyper-reflexia, there were no other major complications.


CONCLUSIONS
The results of this retrospective study suggest that the implantation of the periurethral constrictor appears to be safe and effective as an alternative to the treatment of postprostate surgery urinary incontinence.
Schiavini
João Luiz
JL
Department of Urology, Pedro Ernesto University Hospital (HUPE), Rio de Janeiro State University, Rio de Janeiro, Brazil.
Damião
Ronaldo
R
de Resende Júnior
José Anacleto Dutra
JA
Dornas
Maria Cristina
MC
Cruz Lima da Costa
Danilo Souza
DS
Barros
Cesar Borges
CB
D000368:Aged; D015331:Cohort Studies; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D011468:Prostatectomy / Q000009:adverse effects* / Q000379:methods; D011471:Prostatic Neoplasms / Q000601:surgery; D019736:Prostheses and Implants; D011474:Prosthesis Design; D019919:Prosthesis Implantation / Q000379:methods*; D011788:Quality of Life; D020127:Recovery of Function; D012189:Retrospective Studies; D018570:Risk Assessment; D016896:Treatment Outcome; D014521:Urethra; D014546:Urinary Catheterization; D014549:Urinary Incontinence / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D014554:Urination / Q000502:physiology; D014563:Urodynamics; D014572:Urology / Q000295:instrumentation