Combined Implantation of a Penile Prosthesis and Adjustable Continence Therapy ProACT in Patients with Erectile Dysfunction and Urinary Incontinence after Radical Prostatectomy: Results of a Prospective Pilot Study

2015 ◽  
Vol 12 (12) ◽  
pp. 2481-2484 ◽  
Author(s):  
René Yiou ◽  
Michèle Binhas
Keyword(s):  
Urinary Incontinence ◽  
Erectile Dysfunction ◽  
Pilot Study ◽  
Radical Prostatectomy ◽  
Penile Prosthesis ◽  
Prospective Pilot Study

scholarly journals Injectable Bulking Agent to Treat Postprostatectomy Urinary Incontinence: A Safety and Effectiveness Pilot Study

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Janneke I. M. van Uhm ◽  
Marloes Vermeer ◽  
Henk W. Elzevier ◽  
Joop W. Noordzij ◽  
Evert L. Koldewijn ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Pilot Study ◽  
Radical Prostatectomy ◽  
Treatment Option ◽  
Short Form ◽  
Treatment Success ◽  
Bulking Agent ◽  
International Consultation ◽  
Weight Test ◽  
Urine Loss

Objectives. To evaluate the safety and effectiveness of the injectable bulking agent Opsys® (Promedon, Cordoba, Argentina) for treating minimal postprostatectomy stress urinary incontinence (SUI). Patients and Methods. Single-centre, pilot study on ten male patients with SUI, < 30 g urine loss/ 24 h, more than 1 year after radical prostatectomy. Patients were treated by endoscopic transurethral injections of bulking agent in the presphincteric zone of the urethral submucosa. The results were evaluated using a pad weight test to quantify the differences in urine loss at 1, 3, and 6 months after intervention. Subsequently, the results of treatment were also evaluated by International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF), Incontinence Impact Questionnaire (IIQ-7), Urogenital Distress Inventory Short Form (UDI-6-SF), and the Patient Global Impression of Improvement (PGI-I) at 1, 3, and 6 months after intervention. Results. The primary outcome was the absolute result of the 24-hour pad weight test after treatment. Treatment success was defined as <3 g urine loss/24 h, improvement as ≥50% decrease in urine loss/ 24h, failure as <50% decrease in urine loss/24 h, or worsening of urine loss. Success was demonstrated in one, improvement in one, and failure in eight patients one month after treatment. One patient improved and 9 failed 3 and 6 months after treatment. The median 24-hour pad weight test was higher at all three moments of follow-up (1, 3, and 6 months after treatment). The median 24-hour pad weight test was before treatment 17.3g (6.4-20.9) and 1, 3, and 6 months after treatment, respectively, 40.3g (5.9-130.6) p= 0.038, 38.3g (18.3-202.1) p= 0.014, 55.0g (16.5-314.6) p= 0.028. The ICIQ-SF was significantly higher at 3 and 6 months, respectively 15.0 (12.0-18.5) p= 0.007 and 16.0 (12.5-17.5) p=0.012 versus 10.0 (9.0-12.0) before injection. No significant differences were found between IIQ-7, UDI-6-SF, and PGI-I before and after injection. Complications occurred in four patients: two patients reported spontaneously resolved haematuria and two patients reported urinary frequency. All complications were classified as Clavien–Dindo 1. Conclusion. Injection therapy with Opsys® bulking agent is not an effective treatment option for male SUI after radical prostatectomy. It is not a safe treatment option, due to worsening urine loss after treatment.

scholarly journals MP26-06 NON-HUMAN PRIMATE (NHP) MODEL OF URINARY INCONTINENCE AND ERECTILE DYSFUNCTION AFTER RADICAL PROSTATECTOMY

2017 ◽  
Vol 197 (4S) ◽  
Author(s):  
Joao Zambon ◽  
Manish Patel ◽  
Ashok Hemal ◽  
Gopal Badlani ◽  
Ashley Dean ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Erectile Dysfunction ◽  
Radical Prostatectomy ◽  
Human Primate

Relation between Erectile Dysfunction and Urinary Incontinence after Nerve-Sparing and Non-Nerve-Sparing Radical Prostatectomy

2004 ◽  
Vol 73 (1) ◽  
pp. 31-35 ◽  
Author(s):  
Akira Tsujimura ◽  
Kiyomi Matsumiya ◽  
Yasushi Miyagawa ◽  
Natsuki Takaha ◽  
Kazuo Nishimura ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Erectile Dysfunction ◽  
Radical Prostatectomy ◽  
Nerve Sparing

scholarly journals Digital informed consent on radical prostatectomy surgery - A turning point on patient communication means

2021 ◽  
Vol 93 (3) ◽  
pp. 366-369
Author(s):  
Pedro Sousa Passos ◽  
Nuno Carvalho ◽  
Sara Teixeira Anacleto ◽  
Mário Cerqueira Alves ◽  
Paulo Oliveira Mota
Keyword(s):  
Urinary Incontinence ◽  
Erectile Dysfunction ◽  
Health Status ◽  
Informed Consent ◽  
Patient Education ◽  
Radical Prostatectomy ◽  
Surgical Complications ◽  
Prostatic Cancer ◽  
Turning Point ◽  
Patient Interaction

To the Editor, Radical Prostatectomy (RP) is one of the preferred treatments for localized prostatic cancer and although surgical complications have been reduced over the years, urinary incontinence and erectile dysfunction are still common and significantly impact the patient’s life. Therefore, adequate patient education and counselling before RP is essential. Informed Consent (IC) is a crucial element of doctor-patient interaction, and it must ensure that patients receive and understand all the information regarding their diseases and treatments. Implicit in providing IC is assessing the patient’s understanding, since accessible communication enables them to make informed decisions consciously and autonomously about their health status [...].

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