MP71-15 VIRTUE SUB-URETHRAL SLING FOR STRESS URINARY INCONTINENCE AFTER RADICAL PROSTATECTOMY: a SINGLE-CENTER EXPERIENCE

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP71-15 VIRTUE SUB-URETHRAL SLING FOR STRESS URINARY INCONTINENCE AFTER RADICAL PROSTATECTOMY: a SINGLE-CENTER EXPERIENCE Edoardo Beatrici, Simone Scarcella, Chiara Del Prete, Gianluca Giglioni, Simone Cappuccelli, Lucia Pitoni, Giuliana Gabrielloni, Vito Lacetera, and Valerio Beatrici Edoardo BeatriciEdoardo Beatrici More articles by this author , Simone ScarcellaSimone Scarcella More articles by this author , Chiara Del PreteChiara Del Prete More articles by this author , Gianluca GiglioniGianluca Giglioni More articles by this author , Simone CappuccelliSimone Cappuccelli More articles by this author , Lucia PitoniLucia Pitoni More articles by this author , Giuliana GabrielloniGiuliana Gabrielloni More articles by this author , Vito LaceteraVito Lacetera More articles by this author , and Valerio BeatriciValerio Beatrici More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003339.15AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Stress urinary incontinence (SUI) still represents one of the most common complications after radical prostatectomy (RP). We aim to report our single-center experience with the sub-urethral Virtue male sling (Coloplast, Humlebaek, Denmark) for SUI after RP. METHODS: We prospectively enrolled patients with SUI after RP who underwent sub-urethral Virtue sling placement at our Institution between July 2017 and April 2022. Pre and post-operative (1, 3, 6, and 12 months) SUI was evaluated according to the International Consultation on Incontinence Short-Form Questionnaire (ICIQ-SF), and the number of pads/day. Clavien-Dindo was used to report complications, and Visual Analogue Scale (VAS) to report patients pain during follow-up. Wilcoxon signed-rank test was used to test the median difference between pre and post-operative SUI. Multivariable logistic regression models adjusted for age, BMI, RP approach, previous radiotherapy, and preoperative SUI severity were fitted to test the association between outcomes and patients’ baseline characteristics. RESULTS: A total of 52 patients with SUI after RP (69.2% open, 3.9% laparoscopic, and 26.9% robotic) were prospectively enrolled. Median (IQR) age at surgery was 73 (68 – 76.5) years. Median preoperative ICIQ-SF was 13 (12 - 14), with 32.7% and 67.3% of patients who reported moderate and severe SUI respectively. Median preoperative number of pads\day was 3 (2 - 4). Overall, 11.5% of patients developed a Clavien-Dindo Grade I / II complication after surgery. No major complications were reported. Median VAS score was 3 (2 – 4.5) at first postoperative day, 2 (11-3) upon discharge and 0 after 12 months. Compared to preoperative, Wilcoxon signed-rank test showed a significant median reduction of ICIQ-SF score and number of pads/day at each of the follow-up controls (all p<0.001). After 12 months, 29.4% of patients reached complete continence (0 pads\day) and 35.9% referred only 1 pad\day. Median number of pads\day was 1.5 (1 - 3). Median ICIQ-SF score was 6 (4 – 9), with 44.2% of patients reporting slight incontinence. Adjusted multivariable logistic regression models didn’t find any association between worse outcomes and patients’ baseline characteristics. CONCLUSIONS: To our knowledge, this is the largest single-center experience with sub-urethral Virtue sling after RP. According to our results, this device might safely provide impactful quality of life improvement and recovery in patients with SUI after RP. A larger case series might help to stratify patients who can benefit the most from this sling. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e1020 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Edoardo Beatrici More articles by this author Simone Scarcella More articles by this author Chiara Del Prete More articles by this author Gianluca Giglioni More articles by this author Simone Cappuccelli More articles by this author Lucia Pitoni More articles by this author Giuliana Gabrielloni More articles by this author Vito Lacetera More articles by this author Valerio Beatrici More articles by this author Expand All Advertisement PDF downloadLoading ...