Mp71-13 long-term assessment of the safety and efficacy of the mini-jupette sling: 5-year follow-up of the original series

You have accessJournal of UrologyCME1 Apr 2023MP71-13 LONG-TERM ASSESSMENT OF THE SAFETY AND EFFICACY OF THE MINI-JUPETTE SLING: 5-YEAR FOLLOW-UP OF THE ORIGINAL SERIES Muhammed A Moukhtar Hammad, David W Barham, Daniar Osmonov, Yeonsoo Sara Lee, Georgios Hatzichristodoulou, Koenraad Van Renterghem, Robert Andrianne, Sung Hun Park, Tobias S Kohler, Wayne J G Hellstrom, Lawrence Jenkins, and Faysal Yafi Muhammed A Moukhtar HammadMuhammed A Moukhtar Hammad More articles by this author , David W BarhamDavid W Barham More articles by this author , Daniar OsmonovDaniar Osmonov More articles by this author , Yeonsoo Sara LeeYeonsoo Sara Lee More articles by this author , Georgios HatzichristodoulouGeorgios Hatzichristodoulou More articles by this author , Koenraad Van RenterghemKoenraad Van Renterghem More articles by this author , Robert AndrianneRobert Andrianne More articles by this author , Sung Hun ParkSung Hun Park More articles by this author , Tobias S KohlerTobias S Kohler More articles by this author , Wayne J G HellstromWayne J G Hellstrom More articles by this author , Lawrence JenkinsLawrence Jenkins More articles by this author , and Faysal YafiFaysal Yafi More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003339.13AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Climacturia has been reported in up to 64% of patients following radical prostatectomy (RP). In 2017, a prospective multicenter, multinational, investigational pilot study was conducted examining outcomes using a novel surgical technique, the mini-jupette sling, for the management of men with post-RP erectile dysfunction (ED) and climacturia and/or minimal stress urinary incontinence (SUI). (Figure 1) We sought to report the 5-year outcomes from this original cohort. We assessed long-term safety and efficacy of the mini-jupette sling in the treatment of ED and concomitant mild SUI and/or climacturia. METHODS: We identified patients who were enrolled in the previous multicenter study with post-RP ED and climacturia and/or mild SUI (2 ppd) and underwent IPP insertion with simultaneous placement of a mini-jupette sling. Data including current ppd, improvement in climacturia, complications, need for revision of IPP or additional urinary incontinence surgery, and date of most recent follow-up were collected. RESULTS: Of the original 38 patients, 5 have since died and 10 were lost to follow-up with 23/38 (61%) patients available for evaluation of long-term outcomes. The average follow-up time was 59 months(SD=8.8) with a mean age of 69 years (SD=6.8). Most patients (n=21, 91%) had subjective improvement of SUI and climacturia. One patient with persistent bothersome incontinence underwent artificial urinary sphincter (AUS) placement in 2018 with no complications, while the other is still considering a repeat procedure due to minor but persistent SUI. The mean ppd decreased from 1.4 preoperatively to 0.3 at a mean 5 years of follow-up. Most patients reported satisfaction in their urinary symptoms with 91% and 74% reporting improvement in SUI and climacturia respectively, compared to 86% and 93% respectively in the original series. One (4.3%) patient had an IPP revision for pump malfunction. There were no device infections reported. (Figure 2) CONCLUSIONS: The mini-jupette sling appears to be a safe and effective procedure with durable improvements in SUI and climacturia at 5 years of follow-up. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e1019 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Muhammed A Moukhtar Hammad More articles by this author David W Barham More articles by this author Daniar Osmonov More articles by this author Yeonsoo Sara Lee More articles by this author Georgios Hatzichristodoulou More articles by this author Koenraad Van Renterghem More articles by this author Robert Andrianne More articles by this author Sung Hun Park More articles by this author Tobias S Kohler More articles by this author Wayne J G Hellstrom More articles by this author Lawrence Jenkins More articles by this author Faysal Yafi More articles by this author Expand All Advertisement PDF downloadLoading ...