MINI-INVASIVE TREATMENT OF URINARY INCONTINENCE AFTER PROSTATE CANCER RADICAL TREATMENT

E. I. Veliyev; Велиев Е. И.; E. N. Golubtsova; Голубцова Е. Н.; A. A. Tomilov; Томилов А. А.

doi:10.17650/1726-9776-2013-9-4-37-42

MINI-INVASIVE TREATMENT OF URINARY INCONTINENCE AFTER PROSTATE CANCER RADICAL TREATMENT

Authors: Veliyev E.I.¹, Golubtsova E.N.¹, Tomilov A.A.¹
Affiliations:
1. Russian Medical Academy Postgraduate Education, Moscow
Issue: Vol 9, No 4 (2013)
Pages: 37-42
Section: PROSTATE CANCER
Published: 30.12.2013
URL: https://oncourology.abvpress.ru/oncur/article/view/141
DOI: https://doi.org/10.17650/1726-9776-2013-9-4-37-42
ID: 141

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Abstract

Objective: to evaluate transobturator retrobulbar sling (TRS) implantation midterm results for stress urinary incontinence (UI) after radical prostatectomy.

Subjects and methods. From April 2008 to December 2012 thirteen TRS implantations were performed in Department of Urology and Surgical Andrology of Russian Medical Academy Postgraduate Education in men with mild to severe stress UI. Preoperative assessment, including urethrocystoscopy, was performed. The use of only one safety pad per day was considered to be recovery. The application of no more than 2 pads or a more than 50 % urine leakage reduction was regarded as improvement.

Results. An average follow-up of 33±19 months indicated recovery in 11 of the 13 patients, 1 patient had improvement, and 1 patient showed no positive result. In addition to urine loss reduction, there was significant quality of life improvement. No complications requiring sling removal were seen.

Conclusion. TRS implantation is an effective and safe treatment option for selected patients with stress UI after radical prostatectomy, leading to significantly quality of life improvement.