title: [Initial results of adjustable periurethral balloons (ACT™ and pro ACT™) in the treatment of adult stress urinary incontinence with intrinsic sphincter deficiency].
abstract: OBJECTIVE
  To report efficacy and morbidity of periurethral adjustable balloons (PUAB) in the treatment of stress urinary incontinence (SUI) with intrinsic sphincter deficiency (ISD).
  
  
  METHODS
  Retrospective descriptive and analytic patients cohort study was performed from July 2010 to June 2012. We reviewed data from 43 patients (19 women and 24 men). The patients were categorized into 3 groups: i) women, ii) men after prostatectomy, iii) men with neurogenic SUI (prostate in position). Sandvick score and the average of 3 days 24 h Pad test evaluated the efficacy of the device. The patients impression of improvement was assessed in three degrees: completely improved, partially improved, not improved.
  
  
  RESULTS
  After a median follow-up of 67 weeks (min. 40, max. 91) a significant improvement of the score of Sandvik was observed (8 to 4, P<0.005). The proportion of dry patients or with one security protection in the three groups was 57.9%, 64.3% and 50% respectively for women, men after prostatectomy, and men with neurological SUI. About 27.9% (12/43) of the patients had post-operative complications. These complications required an explantation of the PUAB in 11/12 patients among whom 7/11 (63.6%) had a delayed re-implantation of the device.
  
  
  CONCLUSIONS
  In this series, the overall efficacy observed was 67.4% with a post-operative complication rate of 27.9%. The device adjustment was done in consultation as well as the complications management and the explantation when necessary.
  
  
  METHODS
  4.
authors.affiliation: Aix-Marseille université, 13284 Marseille, France; Service d'urologie et de transplantation rénale, Aix-Marseille université, AP-HM (assistance publique des hôpitaux de Marseille), hôpital de la Conception, 147, boulevard Baille, 13005 Marseille cedex 5, France.
authors.forename: F-A
authors.initials: FA
authors.lastname: Kaboré
authors.affiliation: Service d'urologie et de transplantation rénale, Aix-Marseille université, AP-HM (assistance publique des hôpitaux de Marseille), hôpital de la Conception, 147, boulevard Baille, 13005 Marseille cedex 5, France.
authors.forename: S
authors.initials: S
authors.lastname: Gaillet
authors.affiliation: Aix-Marseille université, 13284 Marseille, France; Service d'urologie et de transplantation rénale, Aix-Marseille université, AP-HM (assistance publique des hôpitaux de Marseille), hôpital de la Conception, 147, boulevard Baille, 13005 Marseille cedex 5, France.
authors.forename: J
authors.initials: J
authors.lastname: Blanc
authors.affiliation: Aix-Marseille université, 13284 Marseille, France; Service d'urologie et de transplantation rénale, Aix-Marseille université, AP-HM (assistance publique des hôpitaux de Marseille), hôpital de la Conception, 147, boulevard Baille, 13005 Marseille cedex 5, France.
authors.forename: R
authors.initials: R
authors.lastname: Boissier
authors.affiliation: Service d'urologie et de transplantation rénale, Aix-Marseille université, AP-HM (assistance publique des hôpitaux de Marseille), hôpital de la Conception, 147, boulevard Baille, 13005 Marseille cedex 5, France.
authors.forename: K Lenne
authors.initials: KL
authors.lastname: Aurier
authors.affiliation: Service d'urologie et de transplantation rénale, Aix-Marseille université, AP-HM (assistance publique des hôpitaux de Marseille), hôpital de la Conception, 147, boulevard Baille, 13005 Marseille cedex 5, France.
authors.forename: V
authors.initials: V
authors.lastname: Delaporte
authors.affiliation: Aix-Marseille université, 13284 Marseille, France; Service d'urologie et de transplantation rénale, Aix-Marseille université, AP-HM (assistance publique des hôpitaux de Marseille), hôpital de la Conception, 147, boulevard Baille, 13005 Marseille cedex 5, France.
authors.forename: C
authors.initials: C
authors.lastname: Coulange
authors.affiliation: Aix-Marseille université, 13284 Marseille, France; Service d'urologie et de transplantation rénale, Aix-Marseille université, AP-HM (assistance publique des hôpitaux de Marseille), hôpital de la Conception, 147, boulevard Baille, 13005 Marseille cedex 5, France.
authors.forename: E
authors.initials: E
authors.lastname: Lechevallier
authors.affiliation: Aix-Marseille université, 13284 Marseille, France; Service d'urologie et de transplantation rénale, Aix-Marseille université, AP-HM (assistance publique des hôpitaux de Marseille), hôpital de la Conception, 147, boulevard Baille, 13005 Marseille cedex 5, France. Electronic address: gilles.karsenty@ap-hm.fr.
authors.forename: G
authors.initials: G
authors.lastname: Karsenty
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D018908:Muscle Weakness / Q000503:physiopathology; D009130:Muscle, Smooth / Q000503:physiopathology; D019736:Prostheses and Implants; D012189:Retrospective Studies; D014521:Urethra / Q000503:physiopathology*; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000628:therapy*
keywords: Adjustable continence therapy; Ballons périurétraux ajustables; Incontinence urinaire; Insuffisance sphinctérienne; Intrinsic sphincter deficiency; Prostatectomie; Prostatectomy; Urinary incontinence