Long-term follow-up outcomes of modified transobturator bulbourethral sling suspension for post-prostatectomy incontinence
10.3969/j.issn.1009-8291.2023.10.008
- VernacularTitle:改良经闭孔尿道球部悬吊术治疗男性前列腺切除术后压力性尿失禁的长期有效性和安全性
- Author:
Gong CHEN
1
;
Yinglong SA
1
;
Baojun GU
1
;
Yuemin XU
1
;
Qiang FU
1
;
Jiemin SI
1
Author Information
1. Department of Urology, Shanghai 6th People’s Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200233, China
- Publication Type:Journal Article
- Keywords:
stress urinary incontinence;
male;
transobturator bulbourethral suspension;
prostatectomy
- From:
Journal of Modern Urology
2023;28(10):856-860
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To evaluate the safety and efficacy of transobturator bulbourethral suspension with modified four-armed pelvic sling for post-prostatectomy incontinence (PPI). 【Methods】 The clinical data of 78 male PPI patients treated during Jan.2012 and Dec.2017 in our hospital were collected. The incontinence quality of life (I-QOL) score, daily use of urine pad, 1-hour urine pad test, residual urine volume (RUV), and maximum flow rate (Qmax) were assessed before and after surgery. 【Results】 The total success rate was 79.5%, of which the cure rate was 56.4% and the improvement rate was 23.1%. The preoperative I-QOL score was (54.6±3.9), daily use of urinary pad was (3.6±0.7), and increase in weight of the 1-hour urine pad test was (33.6±5.0) g. Three years after surgery, the I-QOL score was (80.4±5.7), daily use of a urinary pad was (1.9±0.4), and increase in weight of the 1-hour urine pad test was (7.4±1.3) g. Compared to preoperative status, the I-QOL score, daily use of urine pad, and increase in weight of the 1-hour urine pad test 3 years after surgery improved significantly (P<0.05). During the mean follow-up of (61.4±20.5) months, no significant changes in the I-QOL score, daily use of a urinary pad, 1-hour urinary pad test, RUV or Qmax were observed, and no complications occurred. 【Conclusion】 Transobturator bulbourethral suspension with modified four-armed pelvic sling is an effective and safe procedure to treat post-prostatectomy incontinence. The long-term efficacy is satisfactory.
