title: [ACT device: what place in the treatment of female urinary incontinence?].
abstract: OBJECTIVE
  Assessment of the adjustable continence therapy device (ACT) in the treatment of female stress or mixed urinary incontinence in terms of efficacy and complications.
  
  
  METHODS
  Between April 2005 and September 2011, the device ACT was put by two different operators to treat a stress and/or mixed urinary incontinence at women. The results were studied under two shutters: complications and efficacy.
  
  
  RESULTS
  Seventy-seven women were operated. Mean age of the patients was of 68 years (34-87). Mean follow-up was of 22 months (1-72). Over the 77 patients, eight peroperative complications (10%) were noted. Twenty-five explantations were required in 22 patients (28%). In terms of efficacy, after an average follow-up of 22 months, the results were: 19 patients (25%) were continents, 25 (33%) very improved and five (6%) improved regards to the initial stage preceding the implantation. Fifteen patients (19%) were in failure. Seven patients (9%) were unchanged and in the course of adjustment (recent implantation) and six others (8%) explanted waiting for another implantation.
  
  
  CONCLUSIONS
  The ACT procedure was feasible on a population of multi-operated women with 64% of improvement in our hands. Complications were rare, easily detected and repaired. The risk of explantation was reported to be 28%.
authors.affiliation: Service d'urologie, andrologie et transplantation rénale, groupe hospitalier Pellegrin, CHU Pellegrin, place Amélie-Raba-Léon, 33076 Bordeaux cedex, France.
authors.forename: M
authors.initials: M
authors.lastname: Nacir
authors.forename: P
authors.initials: P
authors.lastname: Ballanger
authors.forename: L
authors.initials: L
authors.lastname: Donon
authors.forename: J C
authors.initials: JC
authors.lastname: Bernhard
authors.forename: A
authors.initials: A
authors.lastname: Douard
authors.forename: E
authors.initials: E
authors.lastname: Marit-Ducamp
authors.forename: J M
authors.initials: JM
authors.lastname: Ferriere
authors.forename: G
authors.initials: G
authors.lastname: Pasticier
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D014549:Urinary Incontinence / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000295:instrumentation