1799 POST-RADICAL PROSTATECTOMY CLIMACTURIA RESOLUTION WITH TREATMENT OF PERSISTENT INCONTINENCE USING THE ADVANCE MALE SLING
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Résumé
You have accessJournal of UrologySexual Function/Dysfunction/Andrology: Peyronie's Disease/Surgical Therapy1 Apr 20111799 POST-RADICAL PROSTATECTOMY CLIMACTURIA RESOLUTION WITH TREATMENT OF PERSISTENT INCONTINENCE USING THE ADVANCE MALE SLING Brian Christine and Anthony Bella Brian ChristineBrian Christine Birmingham, AL More articles by this author and Anthony BellaAnthony Bella Ottawa, Canada More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.2171AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Reports estimate occurrence of orgasm associated incontinence (climacturia) of up to 20–48% following radical prostatectomy (RP). Climacturia (CL) impacts post-radical prostatectomy quality of life but prospective data on treatment outcomes for this condition is limited. A prospective database was initiated in June 2008 to evaluate the impact of the Advance Male Sling (American Medical Systems, MN) for men with mild-to-moderate post-prostatectomy incontinence (ppi) and associated CL. METHODS 23 men who underwent RP (20 robot-assisted, 3 open) and presented with ppi and CL were prospectively followed. The primary endpoint for this was complete resolution of CL. Time to sling post-RP, evaluation (inclusive of history, physical examination, pad-per-day (PPD) incontinence, and cystoscopy, with video urodynamics as needed), operative data, and post-sling CL/continence were measured. RESULTS CL resolved in all 23 patients, even those with persistent urinary leakage. Time from RP to surgery was 16 mths (mean); pre-op pad use was 1–6 pads/day; all patients had stress urinary incontinence and CL (no CL alone); none had detrusor instability. 19/23 (83%) pts were completely dry, 1/23 (4%) reported persistent 0–1 ppd use and 3/23 reported 1 ppd. Persistent ppi was predicted by more severe pre-operative leakage (5–6 ppd). Transient post-sling retention (5–14 days) occurred in 5/23 (22%). No sling infections were reported or second surgeries required. CONCLUSIONS The Advance Male Sling is supported by prospective data as a safe and efficacious treatment for mild to moderate incontinence following RP and this study specifically addresses resolution of concurrent climacturia. Multicenter confirmation of these results, as well as determination of optimal post-RP incontinence and climacturia treatment pathways is warranted. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e722-e723 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Brian Christine Birmingham, AL More articles by this author Anthony Bella Ottawa, Canada More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».