Argus-T Sling in 182 Male Patients: Short-term Results of a Multicenter Study

• Published in: Urology (Ridgewood, N.J.) N.J.), 2017-12, Vol.110, p.177-183
• Main Authors: Siracusano, Salvatore, Visalli, Francesco, Favro, Michele, Tallarigo, Carlo, Saccomanni, Mauro, Kugler, Alexander, Diminutto, Alberto, Talamini, Renato, Artibani, Walter
• Format: Article
• Language: English
• Subjects: Aged; Aged, 80 and over; Humans; Male; Middle Aged; Postoperative Complications - surgery; Prospective Studies; Prostatectomy; Severity of Illness Index; Suburethral Slings; Time Factors; Treatment Outcome; Urinary Incontinence - surgery
• ISSN: 0090-4295; 1527-9995
• DOI: 10.1016/j.urology.2017.07.058

To evaluate the short-term results with Argus-T sling in patients with post-prostatectomy incontinence (PPI). A total of 182 patients with PPI were treated with Argus-T sling at 5 urologic centers from June 2008 to March 2013. The preoperative evaluation included medical history, pad count (1-2 pads: mild PPI; 3-5 pads: moderate PPI; >5 pads: severe PPI), visual analog scale on continence, quality of life score scale, physical examination, cystoscopy, and urodynamic evaluation. Postoperative evaluation was performed 6 weeks postoperatively, and late follow-up was achieved in April 2013. We considered a successful result when patients were cured (0-1 pads/24 hours) and or improved (1-2 pads/24 hours or a reduction in pad per day usage greater than 50%). Twenty-one (11.8%), 96 (52.7%), and 65 (35.7%) patients have mild, moderate, and severe incontinence, respectively. At the median follow-up of 22 months, the overall success rate was 86.2%. We obtained successful results of 95% in mild incontinence, 78% in moderate incontinence and 70% in severe incontinence. In cured and improved patients, we observed a statistically significant amelioration of quality of life (P