MP88-03 ARGUS-T DEVICE IN MALE URINARY INCONTINENCE: SHORT-TERM RESULTS IN 182 PATIENTS

Abstract

INTRODUCTION AND OBJECTIVES: The QoL in presence of urinary incontinence is significantly decreased after radical prostatectomy. ARGUS-T sling are currently employed for the treatment of SUI after radical prostatectomy but data on this device remain still limited. We report the short-term results of SUI treatment after radical prostatectomy with ARGUS-T. METHODS: From June 2008 since March 2013 161 patients affected by post-prostatectomy SUI and 21 patients affected by postTURP SUI were treated with ARGUS-T. The population was divided in 3 groups according to the incontinence degree: mild (1-2 pads/die), moderate (3-5 pads/die) and severe (>5 pads/die). The result was considered as satisfactory when the SUI was cured or improved. 21/182 patients (11.5%) were affected by mild SUI, 96/182 patients (52.7%) were affected by moderate SUI and 65/182 patients (35.7%) were affected by severe SUI. 49/182 patients (26.9%) were previously treated with adjuvant radiotherapy. In our study the QoL was evaluated using specific questionnaires (VAS score scale/QoL score scale) and the daily pad number was compared before and after ARGUS positioning. RESULTS: Median age of patients was 71 years old (range 5086 years) and median follow-up was 22 months (1-59 months). In our study the results were satisfactory in 157/182 patients (86.2%), 60/182 patients (33%) were cured and 97/182 patients (53.2%) were improved respectively. 37/49 patients (75.5%) previously treated with adjuvant radiotherapy showed satisfactory results. None complication was occurred during the intra-operative period while we observed in 26/182 patients (14.3%) a post-operative complication, such as infection (9/182), urethral erosion (1/182) and hypercontinence (16/182). The statistical analysis showed a significant reduction in the use of the number of daily pads and a substantial improvement in QoL after ARGUS-T implant (p<0.001). CONCLUSIONS: In the short-term ARGUS-T sling appears to be safe in the treatment of mild and moderate SUI.