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Interventional Ultrasound-Guided Treatment of Urinary Incontinence: Insertion of ProACT

  • Andrea GregoriEmail author
  • Virginia Varca
  • Andrea Benelli
Chapter

Abstract

The male adjustable continence therapy (ProACT) system is an adjustable device for the treatment of stress urinary incontinence (SUI) in patients who underwent prostate surgery [1]. The SUI prevalence following open or endoscopic surgery for benign prostatic hyperplasia is about 1–2 % and certainly represents just a small segment of patients treated [2]. Despite the incessant development of new surgical techniques, the prevalence of SUI after radical prostatectomy still ranges in literature between 5 and 50 % and represents a constant challenge for the urologist [3–5]. It is important to standardize the concept of SUI; it has been defined by the International Continence Society as the involuntary leakage of urine on effort or exertion, sneezing or coughing [6]. This condition can strongly affect the patient’s quality of life after prostate surgery, especially in those young patients who could still have an active life after a radical prostatectomy. The ProACT system represents a valuable and safe solution for patients with postsurgical mild SUI, thanks to the transrectal ultrasound-guided implantation; this technique allows to avoid radiation exposure under fluoroscopic guidance and achieve a more accurate placement by the use of multiplanar ultrasound imaging [1, 7].

Keywords

Benign Prostatic Hyperplasia Radical Prostatectomy Stress Urinary Incontinence Bladder Neck Artificial Urinary Sphincter 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  • Andrea Gregori
    • 1
    Email author
  • Virginia Varca
    • 1
  • Andrea Benelli
    • 1
  1. 1.Department of UrologyASST Rhodense – Garbagnate HospitalMilanItaly

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