Retrograde Leak Point Pressure Measurement Improves Outcomes of the Virtue Male Sling for Post-prostatectomy Stress Urinary Incontinence
CUA Online Library. Sourial M. 06/22/13; 31458; UP-79
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Abstract
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Introduction and Objectives: Stress urinary incontinence (SUI) following radical prostatectomy is a common problem with resultant impairment of quality of life (QoL). We report our single-institution experience, including efficacy, safety, and the impact on QoL using the Virtue® Male Sling, as well as the advantage of per-operative measurement of the retrograde leak point pressure (RLPP).
Methods: Retrospective evaluation of continence rate and complications in 34 men consecutively treated with the Virtue Male Sling for post-prostatectomy SUI between March 2009 and February 2013. Per-operative measurement of RLPP was carried out in the last 16 patients. Follow-up schedule was at 2, 6, and 12 months, then yearly. Patient Global Impression of Improvement (PGI-I) scale and pad weight were used to measure subjective satisfaction and outcomes at the last follow-up visit. The study was approved by the IRB committee at our institution.
Results: Mean (range) follow-up was 15.9 (1.8 – 45) months. Mean (range) age was 66 (53 – 75) years. 11 (32%) patients had mild, 17 (50%) patients had moderate, and 6 (18%) patients had severe SUI. Of the first 18 patients who did not have RLPP measured during the surgery, 11 (61%), 3 (17%), and 4 (22%) patients had no improvement, improvement, and cure of their SUI respectively, compared to 2 (12.5%), 2 (12.5%), and 12 (75%) of the last 16 patients who did have RLPP measured. 11 (61%) of the 18 patients who did not, compared to 1 (6%) of 16 patients who did have RLPP measured had subsequent surgical treatments for unimproved SUI. 5 (28%) of the 18 patients who did not, compared to 12 (75%) of the 16 patients who did have RLPP measured were very satisfied with their device.
Conclusion: The Virtue Male Sling is a valuable treatment option for mild and moderate post-prostatectomy SUI. Per-operative RLPP measurement significantly improved cure and satisfaction rates.
Methods: Retrospective evaluation of continence rate and complications in 34 men consecutively treated with the Virtue Male Sling for post-prostatectomy SUI between March 2009 and February 2013. Per-operative measurement of RLPP was carried out in the last 16 patients. Follow-up schedule was at 2, 6, and 12 months, then yearly. Patient Global Impression of Improvement (PGI-I) scale and pad weight were used to measure subjective satisfaction and outcomes at the last follow-up visit. The study was approved by the IRB committee at our institution.
Results: Mean (range) follow-up was 15.9 (1.8 – 45) months. Mean (range) age was 66 (53 – 75) years. 11 (32%) patients had mild, 17 (50%) patients had moderate, and 6 (18%) patients had severe SUI. Of the first 18 patients who did not have RLPP measured during the surgery, 11 (61%), 3 (17%), and 4 (22%) patients had no improvement, improvement, and cure of their SUI respectively, compared to 2 (12.5%), 2 (12.5%), and 12 (75%) of the last 16 patients who did have RLPP measured. 11 (61%) of the 18 patients who did not, compared to 1 (6%) of 16 patients who did have RLPP measured had subsequent surgical treatments for unimproved SUI. 5 (28%) of the 18 patients who did not, compared to 12 (75%) of the 16 patients who did have RLPP measured were very satisfied with their device.
Conclusion: The Virtue Male Sling is a valuable treatment option for mild and moderate post-prostatectomy SUI. Per-operative RLPP measurement significantly improved cure and satisfaction rates.
Introduction and Objectives: Stress urinary incontinence (SUI) following radical prostatectomy is a common problem with resultant impairment of quality of life (QoL). We report our single-institution experience, including efficacy, safety, and the impact on QoL using the Virtue® Male Sling, as well as the advantage of per-operative measurement of the retrograde leak point pressure (RLPP).
Methods: Retrospective evaluation of continence rate and complications in 34 men consecutively treated with the Virtue Male Sling for post-prostatectomy SUI between March 2009 and February 2013. Per-operative measurement of RLPP was carried out in the last 16 patients. Follow-up schedule was at 2, 6, and 12 months, then yearly. Patient Global Impression of Improvement (PGI-I) scale and pad weight were used to measure subjective satisfaction and outcomes at the last follow-up visit. The study was approved by the IRB committee at our institution.
Results: Mean (range) follow-up was 15.9 (1.8 – 45) months. Mean (range) age was 66 (53 – 75) years. 11 (32%) patients had mild, 17 (50%) patients had moderate, and 6 (18%) patients had severe SUI. Of the first 18 patients who did not have RLPP measured during the surgery, 11 (61%), 3 (17%), and 4 (22%) patients had no improvement, improvement, and cure of their SUI respectively, compared to 2 (12.5%), 2 (12.5%), and 12 (75%) of the last 16 patients who did have RLPP measured. 11 (61%) of the 18 patients who did not, compared to 1 (6%) of 16 patients who did have RLPP measured had subsequent surgical treatments for unimproved SUI. 5 (28%) of the 18 patients who did not, compared to 12 (75%) of the 16 patients who did have RLPP measured were very satisfied with their device.
Conclusion: The Virtue Male Sling is a valuable treatment option for mild and moderate post-prostatectomy SUI. Per-operative RLPP measurement significantly improved cure and satisfaction rates.
Methods: Retrospective evaluation of continence rate and complications in 34 men consecutively treated with the Virtue Male Sling for post-prostatectomy SUI between March 2009 and February 2013. Per-operative measurement of RLPP was carried out in the last 16 patients. Follow-up schedule was at 2, 6, and 12 months, then yearly. Patient Global Impression of Improvement (PGI-I) scale and pad weight were used to measure subjective satisfaction and outcomes at the last follow-up visit. The study was approved by the IRB committee at our institution.
Results: Mean (range) follow-up was 15.9 (1.8 – 45) months. Mean (range) age was 66 (53 – 75) years. 11 (32%) patients had mild, 17 (50%) patients had moderate, and 6 (18%) patients had severe SUI. Of the first 18 patients who did not have RLPP measured during the surgery, 11 (61%), 3 (17%), and 4 (22%) patients had no improvement, improvement, and cure of their SUI respectively, compared to 2 (12.5%), 2 (12.5%), and 12 (75%) of the last 16 patients who did have RLPP measured. 11 (61%) of the 18 patients who did not, compared to 1 (6%) of 16 patients who did have RLPP measured had subsequent surgical treatments for unimproved SUI. 5 (28%) of the 18 patients who did not, compared to 12 (75%) of the 16 patients who did have RLPP measured were very satisfied with their device.
Conclusion: The Virtue Male Sling is a valuable treatment option for mild and moderate post-prostatectomy SUI. Per-operative RLPP measurement significantly improved cure and satisfaction rates.
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