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Gepubliceerd in: Tijdschrift voor Urologie 1/2019

Open Access 14-08-2018 | Artikel

Tien jaar expertise met aanpasbare continentietherapie voor post-prostatectomie urine-incontinentie

Auteurs: Toscane C. Noordhoff, dr. Jeroen R. Scheepe, dr. Bertil F. M. Blok

Gepubliceerd in: Tijdschrift voor Urologie | Uitgave 1/2019

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Samenvatting

Doel van het onderzoek was de evaluatie van de resultaten van ProACT™-ballonnen voor de behandeling van post-prostatectomie urine-incontinentie (PPI). Tussen 2007 en 2016 werden bij 143 niet-bestraalde patiënten ProACT™-ballonnen geïmplanteerd. De mate van urine-incontinentie is bepaald, waarbij geen inlegger of één dunne inlegger voor de zekerheid werd gedefinieerd als succesvol. De preoperatieve mate van urine-incontinentie was mild (1–2 inleggers) bij 25 %, matig (3–4 inleggers) bij 40 % en ernstig (≥5 inleggers) bij 35 % van de patiënten. Na een mediane follow-up van 56 maanden bleek de behandeling succesvol bij 46 % van de patiënten en ervoer 64 % van de patiënten een verbetering van het inleggergebruik van 50–100 %. De complicaties <30 dagen volgens de Clavien-Dindo-classificatie was: 6 % graad I, 2 % graad II, 2 % graad IIIb. Bij 90 % van de patiënten was geen complicatie opgetreden. ProACT™-ballonnen hebben een duidelijke gunstige uitkomst op de continentie na PPI. Op de lange termijn is de meerderheid tevreden en is het gemiddelde inleggergebruik met ≥ 50 % verbeterd.
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Metagegevens
Titel
Tien jaar expertise met aanpasbare continentietherapie voor post-prostatectomie urine-incontinentie
Auteurs
Toscane C. Noordhoff
dr. Jeroen R. Scheepe
dr. Bertil F. M. Blok
Publicatiedatum
14-08-2018
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Tijdschrift voor Urologie / Uitgave 1/2019
Print ISSN: 2211-3037
Elektronisch ISSN: 2211-4718
DOI
https://doi.org/10.1007/s13629-018-00218-7