Long-term assessment of the safety and effectivity of the mini-jupette sling : 5-year follow-up of the original series
2023 Translational Andrology and Urology. All rights reserved..
Background: In 2017, a prospective multicenter, multinational, investigational pilot study was conducted examining outcomes using a novel surgical technique, the Mini-Jupette sling, for the management of erectile dysfunction (ED) patients with climacturia and/or minimal stress urinary incontinence (SUI) after prostate procedures. Climacturia has been reported in up to 64% of patients following radical prostatectomy (RP). We sought to report the 5-year outcomes from this original cohort to assess long-term safety and effectivity of the mini-jupette sling in the treatment of ED and concomitant mild SUI and/or climacturia.
Methods: This is a single-arm, multicenter, retrospective, observational study. We identified patients who were enrolled in the previous multicenter study with post-RP ED and climacturia and/or mild SUI- 2 PADS PER DAY (PPD) and underwent inflatable penile prosthesis (IPP) insertion with simultaneous placement of a mini-jupette sling. Data were collected including current PPD, subjective improvement in climacturia/SUI, complications, need for revision of IPP or additional urinary incontinence surgery, and date of most recent follow-up. SPSS was used for statistical analysis.
Results: Of the original 38 patients, 5 have since died and 10 were lost to follow-up with 23/38 (61%) patients available for evaluation of long-term outcomes. The average follow-up time was 59 months (SD =8.8) with a mean age of 69 years (SD =6.8). Most patients (n=21, 91%) had subjective improvement of SUI and climacturia. One patient with persistent bothersome incontinence underwent artificial urinary sphincter (AUS) placement in 2018 with no complications, while the other is still considering a repeat procedure due to minor but persistent SUI. The mean PPD decreased from 1.4 preoperatively to 0.4 at a mean of 5 years of follow-up. Most patients reported satisfaction in their urinary symptoms with 91% and 73% reporting improvement in SUI and climacturia respectively, compared to 86% and 93% respectively in the original series. One (4.3%) patient had an IPP revision for pump malfunction. There were no device infections reported.
Conclusions: The mini-jupette sling appears to be a safe and effective procedure with durable improvements in SUI and climacturia at 5 years of follow-up.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:12 |
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| Enthalten in: |
Translational andrology and urology - 12(2023), 5 vom: 31. Mai, Seite 859-865 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Hammad, Muhammed A M [VerfasserIn] |
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| Links: |
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| Themen: |
Climacturia |
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| Anmerkungen: |
Date Revised 13.06.2023 published: Print-Electronic Citation Status PubMed-not-MEDLINE |
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| doi: |
10.21037/tau-22-661 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM358073642 |
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| 100 | 1 | |a Hammad, Muhammed A M |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Long-term assessment of the safety and effectivity of the mini-jupette sling |b 5-year follow-up of the original series |
| 264 | 1 | |c 2023 | |
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| 500 | |a Date Revised 13.06.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a 2023 Translational Andrology and Urology. All rights reserved. | ||
| 520 | |a Background: In 2017, a prospective multicenter, multinational, investigational pilot study was conducted examining outcomes using a novel surgical technique, the Mini-Jupette sling, for the management of erectile dysfunction (ED) patients with climacturia and/or minimal stress urinary incontinence (SUI) after prostate procedures. Climacturia has been reported in up to 64% of patients following radical prostatectomy (RP). We sought to report the 5-year outcomes from this original cohort to assess long-term safety and effectivity of the mini-jupette sling in the treatment of ED and concomitant mild SUI and/or climacturia | ||
| 520 | |a Methods: This is a single-arm, multicenter, retrospective, observational study. We identified patients who were enrolled in the previous multicenter study with post-RP ED and climacturia and/or mild SUI- 2 PADS PER DAY (PPD) and underwent inflatable penile prosthesis (IPP) insertion with simultaneous placement of a mini-jupette sling. Data were collected including current PPD, subjective improvement in climacturia/SUI, complications, need for revision of IPP or additional urinary incontinence surgery, and date of most recent follow-up. SPSS was used for statistical analysis | ||
| 520 | |a Results: Of the original 38 patients, 5 have since died and 10 were lost to follow-up with 23/38 (61%) patients available for evaluation of long-term outcomes. The average follow-up time was 59 months (SD =8.8) with a mean age of 69 years (SD =6.8). Most patients (n=21, 91%) had subjective improvement of SUI and climacturia. One patient with persistent bothersome incontinence underwent artificial urinary sphincter (AUS) placement in 2018 with no complications, while the other is still considering a repeat procedure due to minor but persistent SUI. The mean PPD decreased from 1.4 preoperatively to 0.4 at a mean of 5 years of follow-up. Most patients reported satisfaction in their urinary symptoms with 91% and 73% reporting improvement in SUI and climacturia respectively, compared to 86% and 93% respectively in the original series. One (4.3%) patient had an IPP revision for pump malfunction. There were no device infections reported | ||
| 520 | |a Conclusions: The mini-jupette sling appears to be a safe and effective procedure with durable improvements in SUI and climacturia at 5 years of follow-up | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Erectile dysfunction (ED) | |
| 650 | 4 | |a climacturia | |
| 650 | 4 | |a penile prosthesis | |
| 650 | 4 | |a radical prostatectomy (RP) | |
| 650 | 4 | |a stress urinary incontinence (SUI) | |
| 700 | 1 | |a Barham, David W |e verfasserin |4 aut | |
| 700 | 1 | |a Osmonov, Daniar |e verfasserin |4 aut | |
| 700 | 1 | |a Hatzichristodoulou, Georgios |e verfasserin |4 aut | |
| 700 | 1 | |a van Renterghem, Koenraad |e verfasserin |4 aut | |
| 700 | 1 | |a Andrianne, Robert |e verfasserin |4 aut | |
| 700 | 1 | |a Park, Sung Hun |e verfasserin |4 aut | |
| 700 | 1 | |a Kohler, Tobias S |e verfasserin |4 aut | |
| 700 | 1 | |a Hellstrom, Wayne J G |e verfasserin |4 aut | |
| 700 | 1 | |a Jenkins, Lawrence |e verfasserin |4 aut | |
| 700 | 1 | |a Yafi, Faysal A |e verfasserin |4 aut | |
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