Mp52-07 results of periurethral adjustable balloons (act™) in the treatment of complex female stress urinary incontinence

You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Female Incontinence: Therapy II (MP52)1 Sep 2021MP52-07 RESULTS OF PERIURETHRAL ADJUSTABLE BALLOONS (ACT™) IN THE TREATMENT OF COMPLEX FEMALE STRESS URINARY INCONTINENCE Quentin Bandelier, Floriane Michel, Romain Boissier, Sarah Gaillet, Véronique Delaporte, Bastien Gondran-Tellier, Sadok Chkir, Michael Baboudjian, Aristide Fasnewindé Kaboré, Eric Lechevallier, and Gilles Karsenty Quentin BandelierQuentin Bandelier More articles by this author , Floriane MichelFloriane Michel More articles by this author , Romain BoissierRomain Boissier More articles by this author , Sarah GailletSarah Gaillet More articles by this author , Véronique DelaporteVéronique Delaporte More articles by this author , Bastien Gondran-TellierBastien Gondran-Tellier More articles by this author , Sadok ChkirSadok Chkir More articles by this author , Michael BaboudjianMichael Baboudjian More articles by this author , Aristide Fasnewindé KaboréAristide Fasnewindé Kaboré More articles by this author , Eric LechevallierEric Lechevallier More articles by this author , and Gilles KarsentyGilles Karsenty More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002082.07AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: In contrast to simple stress urinary incontinence (SSUI), the treatment of complex SUI (CSUI) is not well defined. The adjustable periurethral balloons (APUB - ACT™, Uromedica, Plymouth, MN), developed to treat urinary incontinence resulting from intrinsic sphincter deficiency (ISD), might be viewed as a valuable tool in this heterogenous population. In this work we analyzed efficacy and morbidity of APUB in female CSUI. METHODS: Medical charts of women with APUB implantation between January 2010 and December 2019 in our tertiary center was conducted. CSUI was defined as a recurrent SUI after 1 or more surgical procedures, SUI after radiotherapy, neurogenic SUI and other SUI attributable to ISD (Urethral closure pressure < 20cmH20). Efficacy was evaluated by survey with the Patient Global Impression of Improvement (PGI-I) scale involving 7 levels for clinical improvement or worsening (Lickert scale). Success was defined as a social continence with a +2 or +3 PGI-I. The number of APUB adjustments, complications and explantation were collected. This study was approved by the French Research in Urology Ethic Board (CERU 2019/006). RESULTS: Between 2010 and 2019, 53 patients had a APUB for CSUI with a median follow-up of 33 months [1-100]. Twenty patients out of 53 had a neurological disease. Among the rest, 5 had previous radiotherapy and 22 had a neurogenic sphincter deficiency. In 62% (33/53), success was observed at the latest news after 1 to 3 implantations. The median number of adjustments was 3 [1-9]. After the first implantation, the number of prothesis infections, cutaneous or urinary tract exposure and device migration were respectively 3 (5.6%), 9(17%) and 12 (22%), all leading to a APUB explantation. All the complications and explantations were treated in outpatient clinics. In 29 of the initially « success » patients after the first implantation, the median lifetime of APUB was 24 months (1-96). Twelve of them had a new implantation with 11 successes. CONCLUSIONS: APUB can satisfy 62% of female patients with CSUI. These results were obtained with minimally invasive surgery without new urethral surgical access and must be balanced with their significative levels of complications and explantations. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e932-e932 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Quentin Bandelier More articles by this author Floriane Michel More articles by this author Romain Boissier More articles by this author Sarah Gaillet More articles by this author Véronique Delaporte More articles by this author Bastien Gondran-Tellier More articles by this author Sadok Chkir More articles by this author Michael Baboudjian More articles by this author Aristide Fasnewindé Kaboré More articles by this author Eric Lechevallier More articles by this author Gilles Karsenty More articles by this author Expand All Advertisement PDF downloadLoading ...