Placement of ProACT Device in a Man with Persistent Leakage with AUS

Abstract

ABSTRACT Introduction Up to 50% of men who undergo artificial urinary sphincter implantation will need a subsequent surgery within 5 years. Causes for revision include erosion, persistent leakage, urethral atrophy, infection and mechanical failure. We present a case of successful treament of recurrent SUI following AUS revision using the ProACT device. Patient was using 3 pads per day despite functional AUS. Objective Demonstrate technique and discuss outcome in patient treated with ProACT therapy following AUS failure. Methods Video with narration is used to demonstrate novel technique of using adjustable, inflatable balloons to treat post prostatectomy incontinence in a man who has experienced urethral atrophy due to in situ AUS. Pump was deactivated and small cystoscope was used to avoid damage to device. ProACT placement technique demonstrated including cystogram, flouroscopic guidance and use of specialized implantation tools. Results Technical description and visual demonstration of ProACT placement for a patient with persistent SUI following AUS failure. At four months post op patient was pad free without undergoing full AUS revision and associated risks. Conclusions ProACT may be a useful option to avoid full revision in patients with persistent or recurrent leakage following artificial urinary sphincter placement. Disclosure Yes, this is sponsored by industry/sponsor: Uromedica Clarification: Industry funding only - investigator initiated and executed study Any of the authors act as a consultant, employee or shareholder of an industry for: Uromedica