Secondary placement of adjustable continence therapy (ProACT™) using open perineal technique : Case report of ProACT placement in a man with a devastated urethra following pelvic trauma and multiple AUS erosions
© 2023 The Authors..
Adjustable continence therapy (ProACT) is an underutilized treatment option in men with stress urinary incontinence. The device is placed using a perineal percutaneous tunneled approach. We demonstrate a salvage technique for ProACT placement in a man with a devastated urethra following pelvic trauma and multiple artificial urinary sphincter (AUS) erosions who failed a tunneled approach. Our novel technique has utility in those at high risk for intra-operative trocar injury to the urinary tract with a tunneled approach. An open approach may also be a viable option in high-risk patients who have failed a conventional ProACT approach, male sling, or AUS.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:49 |
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| Enthalten in: |
Urology case reports - 49(2023) vom: 06. Juli, Seite 102424 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Kong, Lily [VerfasserIn] |
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| Links: |
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| Themen: |
Case Reports |
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| Anmerkungen: |
Date Revised 20.06.2023 published: Electronic-eCollection Citation Status PubMed-not-MEDLINE |
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| doi: |
10.1016/j.eucr.2023.102424 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM358358167 |
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| 245 | 1 | 0 | |a Secondary placement of adjustable continence therapy (ProACT™) using open perineal technique |b Case report of ProACT placement in a man with a devastated urethra following pelvic trauma and multiple AUS erosions |
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| 520 | |a © 2023 The Authors. | ||
| 520 | |a Adjustable continence therapy (ProACT) is an underutilized treatment option in men with stress urinary incontinence. The device is placed using a perineal percutaneous tunneled approach. We demonstrate a salvage technique for ProACT placement in a man with a devastated urethra following pelvic trauma and multiple artificial urinary sphincter (AUS) erosions who failed a tunneled approach. Our novel technique has utility in those at high risk for intra-operative trocar injury to the urinary tract with a tunneled approach. An open approach may also be a viable option in high-risk patients who have failed a conventional ProACT approach, male sling, or AUS | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a Devastated urethra | |
| 650 | 4 | |a Male stress urinary incontinence | |
| 650 | 4 | |a ProACT | |
| 700 | 1 | |a Coddington, Nathaniel D |e verfasserin |4 aut | |
| 700 | 1 | |a Flynn, Brian J |e verfasserin |4 aut | |
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