1799 POST-RADICAL PROSTATECTOMY CLIMACTURIA RESOLUTION WITH TREATMENT OF PERSISTENT INCONTINENCE USING THE ADVANCE MALE SLING
Bibliographic record
Abstract
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 ...
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".