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- Title
Rapid Communication: Treatment of Intrinsic Sphincter Deficiency Using the Macroplastique Implantation System: Two-Year Follow-up.
- Authors
José Tadeu Nunes Tamanini; Carlos Arturo Levi D'Ancona; Nelson Rodrigues Netto
- Abstract
Purpose: To evaluate the 24-month outcome of the Macroplastique® Implantation System (MIS) for the treatmentof stress urinary incontinence (SUI) using objective and subjective measures, including quality-of-life(QoL) impact.Patients and Methods: Twenty-one consecutive women with a mean age of 47.4 years and a mean body massindex 26.16 kg/m2 having urodynamically diagnosed intrinsic sphincter deficiency (ISD) were enrolled. Patientswere assessed preoperatively and postoperatively by physical examination, Stamey grading of incontinence,pad usage, pad weight test, and urodynamic measurements. Quality of life was assessed by the King'sHealth Questionnaire. Patients underwent transurethral injection of the MIS under local anesthesia on anoutpatient basis. The mean volume injected was 6.3 mL. The data presented are based on 24-month followupfrom the last injection, and the patients were considered their own controls.Results: Patient QoL improved in all domains. Ten patients (47%) considered themselves cured; three(14.3%) thought they were improved, and eight (38.1%) believed the procedure had failed. According to thesubjective surgeon Stamey grading, 8 patients (38.1%) were considered cured, 5 (23.8%) improved, and 8(38.1%) failed. Daily pad usage was reduced from a mean of 4.38 to 1.47. According to the pad weight test,12 patients (57.1%) were dry and two (9.5%) improved, while in 7 (33.3%), MIS failed. Urodynamic testingdemonstrated 10 patients (50%) dry and 5 (25%) improved.Conclusion: The MIS proved to have an outcome acceptable to patients and surgeons at 24-month followup.The procedure can be performed easily under local anesthesia.
- Publication
Journal of Endourology, 2004, Vol 18, Issue 9, p906
- ISSN
0892-7790
- Publication type
Article