Andrianne R
Department of Urology and Sexual Medicine, CETISM (centre d'étude et de traitement interdisciplinaire de sexopathologie masculine, or Center for the study and interdisciplinary treatment of male sexual health), University Hospital Center (CHU), Sart Tilman, 4000 Liège, Belgium.
Prog Urol. 2019 Jul-Aug;29(8-9):456-463. doi: 10.1016/j.purol.2019.05.003. Epub 2019 Jul 9.
The usual morbidity after radical prostatectomy (RP) implies, the possible need for inflatable penile prosthesis (IPP). This study aims to validate the efficacy and safety of a sling called "Mini-Jupette" concomitantly with the implantation of an IPP that will counteract mild UI (<2 pads/day) associated or not with climacturia for patients resistant to non-invasive therapeutic approach.
We provide a detailed description with robust illustration of an original surgical technique. The method the criteria analyzed in the study and the statistical method. Retrospective data from 15 patients from 2006 to 2016 are detailed.
Data about erectile function, continence before and after operation are documented for this cohort with mild incontinence (15pts - 100% - mean pad/day was 1.5, SD=0.6) and climacturia (6pts-40%). Mean age was 65.9 years (SD=6.3). There were no complications but 2 patients had dysuria and one patient present urinary retention requiring temporary bladder drainage. At 6 months, incontinence were objectively cured for 80% of patients and 2 patients (13%) improve their continence by a slight activation of the implant, the climacturia disappeared in 5 patients (82%). A telephone interview shows a good durability of the results. with a mean time of 107 months follow-up.
Concomitant insertion of the "Mini-Jupette" sling during implantation of an IPP contributes reliably, safely and durably to the treatment of post-radical prostatectomy mild incontinence and/or climacturia.
根治性前列腺切除术（RP）后常见的发病率意味着可能需要植入可膨胀阴茎假体（IPP）。本研究旨在验证一种名为“Mini-Jupette”的吊带与IPP植入同时使用的有效性和安全性，该吊带可抵消对非侵入性治疗方法耐药的患者中与或不与更年期尿频相关的轻度尿失禁（<2片/天）。
我们提供了一种原始手术技术的详细描述及有力图示。介绍了研究中分析的标准和统计方法。详细列出了2006年至2016年15例患者的回顾性数据。
记录了该队列中轻度尿失禁（15例 - 100% - 平均每日使用尿垫数为1.5，标准差=0.6）和更年期尿频（6例 - 40%）患者手术前后的勃起功能和控尿情况。平均年龄为65.9岁（标准差=6.3）。无并发症发生，但有2例患者出现排尿困难，1例患者出现尿潴留，需要临时膀胱引流。6个月时，80%的患者尿失禁得到客观治愈，2例患者（13%）通过轻微激活植入物改善了控尿情况，5例患者（82%）的更年期尿频消失。电话随访显示结果具有良好的持久性，平均随访时间为107个月。
在植入IPP的同时插入“Mini-Jupette”吊带，对根治性前列腺切除术后轻度尿失禁和/或更年期尿频的治疗有可靠、安全且持久的作用。
3级。
