Efficacy of the Artificial Urinary Sphincter ZSI 375 for Treatment of Post-Radical Prostatectomy Incontinence in Patients with Intrinsic Sphincter Deficiency: A Preliminary Study
Objectives: To evaluate the efficacy of the ZSI 375 artificial urinary sphincter (AUS) (Zephyr Artificial Sphincter, Geneva, Switzerland) for the treatment of patients with post-radical prostatectomy urinary incontinence. Methods: This was a retrospective, non-randomised, multicentre study open t...
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| Format: | Article |
| Language: | English |
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European Medical Journal
2017-06-01
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| Series: | European Medical Journal |
| Online Access: | https://www.emjreviews.com/urology/article/efficacy-of-the-artificial-urinary-sphincter-zsi-375-for-treatment-of-post-radical-prostatectomy-incontinence-in-patients-with-intrinsic-sphincter-deficiency-a-preliminary-study/ |
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| author | Alejandro Carvajal Obando Federico Gavira Gil Álvaro Gutiérrez Martinez Luis Fernando Echeverry Molina Juan Carlos Castaño Botero |
| author_facet | Alejandro Carvajal Obando Federico Gavira Gil Álvaro Gutiérrez Martinez Luis Fernando Echeverry Molina Juan Carlos Castaño Botero |
| author_sort | Alejandro Carvajal Obando |
| collection | DOAJ |
| description | Objectives: To evaluate the efficacy of the ZSI 375 artificial urinary sphincter (AUS) (Zephyr Artificial Sphincter, Geneva, Switzerland) for the treatment of patients with post-radical prostatectomy urinary incontinence.
Methods: This was a retrospective, non-randomised, multicentre study open to patients with moderate-to-severe urinary incontinence due to intrinsic sphincter deficiency after radical prostatectomy. Efficacy and safety was evaluated on continence status, complications, and surgical revision.
Results: Twenty-seven patients were recruited between September 2013 and April 2016 and followed up to April 2017. Mean age was 67.70 years old (range: 55–78). Twenty-six patients (96.30%) presented with incontinence post-radical prostatectomy and one patient (3.70%) after post-radical prostatectomy plus adjuvant radiotherapy. Follow-up ranged from 12 months–42 months (mean: 27.11). The success rate was 88.90% after 12 months follow-up, 94.12% after 24 months follow-up and 83.33% after 36 months follow-up. Three patients (11.11%) presented with a scrotal infection, two patients (7.41%) suffered a urethral erosion, and two patients (7.41%) had a mechanical failure. The revision rate was 22.22% (six patients).
Conclusion: The follow-up time of this preliminary clinical study was long enough to demonstrate that the ZSI 375 AUS offers a good rate of continence to patients with urinary stress incontinence. |
| first_indexed | 2024-04-13T23:38:41Z |
| format | Article |
| id | doaj.art-207d59dc4aef430682623f0a762494bc |
| institution | Directory Open Access Journal |
| issn | 2397-6764 |
| language | English |
| last_indexed | 2024-04-13T23:38:41Z |
| publishDate | 2017-06-01 |
| publisher | European Medical Journal |
| record_format | Article |
| series | European Medical Journal |
| spelling | doaj.art-207d59dc4aef430682623f0a762494bc2022-12-22T02:24:37ZengEuropean Medical JournalEuropean Medical Journal2397-67642017-06-01222226Efficacy of the Artificial Urinary Sphincter ZSI 375 for Treatment of Post-Radical Prostatectomy Incontinence in Patients with Intrinsic Sphincter Deficiency: A Preliminary StudyAlejandro Carvajal Obando0Federico Gavira Gil1Álvaro Gutiérrez Martinez2Luis Fernando Echeverry Molina3Juan Carlos Castaño Botero4Hospital Universitario San Vicente Fundación, Medellín, Antioquia, ColombiaHospital Pablo Tobón Uribe Calle, Medellín, Antioquia, ColombiaUrobosque Centro Urologico, Bogotá, Cundinamarca, ColombiaFundación SaluVite, Cali, ColombiaClínica Universitaria CES, Medellín, ColombiaObjectives: To evaluate the efficacy of the ZSI 375 artificial urinary sphincter (AUS) (Zephyr Artificial Sphincter, Geneva, Switzerland) for the treatment of patients with post-radical prostatectomy urinary incontinence. Methods: This was a retrospective, non-randomised, multicentre study open to patients with moderate-to-severe urinary incontinence due to intrinsic sphincter deficiency after radical prostatectomy. Efficacy and safety was evaluated on continence status, complications, and surgical revision. Results: Twenty-seven patients were recruited between September 2013 and April 2016 and followed up to April 2017. Mean age was 67.70 years old (range: 55–78). Twenty-six patients (96.30%) presented with incontinence post-radical prostatectomy and one patient (3.70%) after post-radical prostatectomy plus adjuvant radiotherapy. Follow-up ranged from 12 months–42 months (mean: 27.11). The success rate was 88.90% after 12 months follow-up, 94.12% after 24 months follow-up and 83.33% after 36 months follow-up. Three patients (11.11%) presented with a scrotal infection, two patients (7.41%) suffered a urethral erosion, and two patients (7.41%) had a mechanical failure. The revision rate was 22.22% (six patients). Conclusion: The follow-up time of this preliminary clinical study was long enough to demonstrate that the ZSI 375 AUS offers a good rate of continence to patients with urinary stress incontinence.https://www.emjreviews.com/urology/article/efficacy-of-the-artificial-urinary-sphincter-zsi-375-for-treatment-of-post-radical-prostatectomy-incontinence-in-patients-with-intrinsic-sphincter-deficiency-a-preliminary-study/ |
| spellingShingle | Alejandro Carvajal Obando Federico Gavira Gil Álvaro Gutiérrez Martinez Luis Fernando Echeverry Molina Juan Carlos Castaño Botero Efficacy of the Artificial Urinary Sphincter ZSI 375 for Treatment of Post-Radical Prostatectomy Incontinence in Patients with Intrinsic Sphincter Deficiency: A Preliminary Study European Medical Journal |
| title | Efficacy of the Artificial Urinary Sphincter ZSI 375 for Treatment of Post-Radical Prostatectomy Incontinence in Patients with Intrinsic Sphincter Deficiency: A Preliminary Study |
| title_full | Efficacy of the Artificial Urinary Sphincter ZSI 375 for Treatment of Post-Radical Prostatectomy Incontinence in Patients with Intrinsic Sphincter Deficiency: A Preliminary Study |
| title_fullStr | Efficacy of the Artificial Urinary Sphincter ZSI 375 for Treatment of Post-Radical Prostatectomy Incontinence in Patients with Intrinsic Sphincter Deficiency: A Preliminary Study |
| title_full_unstemmed | Efficacy of the Artificial Urinary Sphincter ZSI 375 for Treatment of Post-Radical Prostatectomy Incontinence in Patients with Intrinsic Sphincter Deficiency: A Preliminary Study |
| title_short | Efficacy of the Artificial Urinary Sphincter ZSI 375 for Treatment of Post-Radical Prostatectomy Incontinence in Patients with Intrinsic Sphincter Deficiency: A Preliminary Study |
| title_sort | efficacy of the artificial urinary sphincter zsi 375 for treatment of post radical prostatectomy incontinence in patients with intrinsic sphincter deficiency a preliminary study |
| url | https://www.emjreviews.com/urology/article/efficacy-of-the-artificial-urinary-sphincter-zsi-375-for-treatment-of-post-radical-prostatectomy-incontinence-in-patients-with-intrinsic-sphincter-deficiency-a-preliminary-study/ |
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