title: Periurethral constrictor: late results of the treatment of post prostatectomy urinary incontinence.
abstract: OBJECTIVE
  We evaluated retrospectively, the long-term outcome of patients with post-prostatectomy urinary incontinence (PPUI) after placement of the Periurethral Constrictor (PUC).
  
  
  METHODS
  Fifty-six men with severe PPUI were studied, with a mean age of 68.5 years old. Fifty-one men had PPUI due to radical surgery having the device placed around the bulbous urethra, and five individuals with benign prostatic hypertrophy (BPH) had placement around the bladder neck. The mean follow-up was 82.2 months.
  
  
  RESULTS
  Twenty-two patients (39.28%) became continent (0 to 1 pad a day) and 34 (60.72%) were incontinent. Complications were as follows: urethral erosion in 15 (26.78%); mechanical malfunction in 2 (3.5%); infection in 2 (3.5%); urinary fistula in 1 (1.7%); Urinary tract infection1 (1.7%). Twenty-three patients needed to have the device removed (41.07%). Success rate (continent me) was 30.35%.
  
  
  CONCLUSIONS
  In the present series the PUC was not effective for the treatment of severe PPUI in the long-term follow-up.
authors: Section of Urology, Hospital das Clínicas, Federal University of Pernambuco, Recife, Brazil. robertosantoslima@gmail.com
authors: Roberto S
authors: RS
authors: Lima
authors: Evandilson G C
authors: EG
authors: Barros
authors: Carlos A
authors: CA
authors: Souza
authors: Fábio
authors: F
authors: de O Vilar
authors: Salvador Vilar C
authors: SV
authors: Lima
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003250:Constriction; D020878:Device Removal; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011468:Prostatectomy / Q000009:adverse effects*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000628:therapy*; D016741:Urinary Sphincter, Artificial / Q000009:adverse effects