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A systematic review of the treatment for female stress urinary incontinence by ACT® balloon placement (Uromedica, Irvine, CA, USA)

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Abstract

Purpose

(1) To describe the minimally invasive adjustable continence therapy (ACT)® balloon placement surgical technique. (2) To analyse the results of ACT® balloon in the treatment for female stress urinary incontinence (SUI).

Method

A review of the literature was performed by searching the PubMed database using the following search terms: ACT balloons, female urinary incontinence, and female continence.

Results

Eight studies were published between 2007 and 2013. The mean follow-up of these studies was 1–6 years. The mean age of the patients ranged between 62 and 73 years; 40–100 % of patients had already been treated surgically for their SUI. A significant reduction in the number of pads used per day was observed after ACT® balloon placement, with improvement of short pad tests from 49.6 to 77.3 g preoperatively to 11.2–25.7 g after ACT® balloon placement. Fifteen to 44 % of patients considered that their SUI had been cured and 66–78.4 % were satisfied with the result. The explantation rate ranged between 18.7 and 30.8 %. Quality of life was significantly improved, and no major complication was reported.

Conclusion

ACT® balloons constitute a reasonable, minimally invasive alternative for the treatment for female SUI due to intrinsic sphincter disorder, especially in patients who have already experienced failure of standard surgical treatment and in clinical settings incompatible with invasive surgical placement of an artificial urinary sphincter (especially women over the age of 80 years). Long-term results are essential to evaluate the efficacy of this treatment.

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References

  1. Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U et al (2003) The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Urology 61(1):37–49

    Article  PubMed  Google Scholar 

  2. Reynolds WS, Dmochowski RR, Penson DF (2011) Epidemiology of stress urinary incontinence in women. Curr Urol Rep 12(5):370–376

    Article  PubMed  Google Scholar 

  3. Chartier-Kastler E, Van Kerrebroeck P, Olianas R, Cosson M, Mandron E, Delorme E et al (2011) Artificial urinary sphincter (AMS 800) implantation for women with intrinsic sphincter deficiency: a technique for insiders? BJU Int 107(10):1618–1626

    Article  PubMed  Google Scholar 

  4. Costa P, Poinas G, Ben Naoum K, Bouzoubaa K, Wagner L, Soustelle L et al (2013) Long-term results of artificial urinary sphincter for women with type III stress urinary incontinence. Eur Urol 63(4):753–758. doi:10.1016/j.eururo.2012.03.008

    Article  PubMed  Google Scholar 

  5. Vidart A, Cour F (2010) Guidelines for the treatment of non-neurological urinary incontinence in women using periurethral balloons. Prog Urol 20(Suppl 2):S150–S154

    Article  PubMed  Google Scholar 

  6. Novara G, Artibani W, Barber MD, Chapple CR, Costantini E, Ficarra V et al (2010) Updated systematic review and meta-analysis of the comparative data on colposuspensions, pubovaginal slings, and midurethral tapes in the surgical treatment of female stress urinary incontinence. Eur Urol 58(2):218–238

    Article  PubMed  Google Scholar 

  7. Lebret T, Cour F, Benchetrit J, Grise P, Bernstein J, Delaporte V et al (2008) Treatment of postprostatectomy stress urinary incontinence using a minimally invasive adjustable continence balloon device, ProACT: results of a preliminary, multicenter, pilot study. Urology 71(2):256–260

    Article  PubMed  Google Scholar 

  8. Mehnert U, Bastien L, Denys P, Cardot V, Even-Schneider A, Kocer S et al (2012) Treatment of neurogenic stress urinary incontinence using an adjustable continence device: 4-Year followup. J Urol 188(6):2274–2280

    Article  PubMed  Google Scholar 

  9. Chartier-Kastler E, Costa P, Ben Naoum K, Cour F, Le Normand L, Haab F (2007) French multicentre prospective study of the use of ACT balloons (Uromedica, Inc., Plymouth, Min, USA; Medtronic, Minneapolis, USA) for the treatment of female stress urinary incontinence. Prog Urol 17(7):1372–1377

    Article  PubMed  Google Scholar 

  10. Vayleux B, Luyckx F, Thélu S, Rigaud J, Bouchot O, Karam G et al (2010) Adjustable continence therapy in women, middle term follow-up and a new technique for balloon positioning. Prog Urol 20(7):520–526

    Article  CAS  PubMed  Google Scholar 

  11. Aboseif SR, Franke EI, Nash SD, Slutsky JN, Baum NH, Tu LM et al (2009) The adjustable continence therapy system for recurrent female stress urinary Incontinence: 1-year results of the North America clinical study group. J Urol 181(5):2187–2191

    Article  PubMed  Google Scholar 

  12. Aboseif S, Sassani P, Franke E, Nash S, Slutsky J, Baum N et al (2011) Treatment of moderate to severe female stress urinary incontinence with the adjustable continence therapy (ACT) device after failed surgical repair. World J Urol 29(2):249–253

    Article  PubMed  Google Scholar 

  13. Kocjancic E, Crivellaro S, Smith JJ 3rd, Ranzoni S, Bonvini D, Frea B (2008) Adjustable continence therapy for treatment of recurrent female urinary incontinence. J Endourol 22(7):1403–1407

    Article  PubMed  Google Scholar 

  14. Kocjancic E, Crivellaro S, Ranzoni S, Bonvini D, Grosseti B, Frea B (2010) Adjustable continence therapy for severe intrinsic sphincter deficiency and recurrent female stress urinary incontinence: long-term experience. J Urol 184(3):1017–1021

    Article  PubMed  Google Scholar 

  15. Wachter J, Henning A, Roehlich M, Marszalek M, Rauchenwald M, Madersbacher S (2008) Adjustable continence therapy for female urinary incontinence: a minimally invasive option for difficult cases. Urol Int 81(2):160–166

    Article  PubMed  Google Scholar 

  16. Lucas MG, Bosch RJL, Burkhard FC, Cruz F, Madden TB, Nambiar AK et al (2012) EAU guidelines on surgical treatment of urinary incontinence. Eur Urol 62(6):1118–1129

    Article  PubMed  Google Scholar 

  17. Hermieu J-F, Conquy S, Leriche B, Debodinance P, Delorme E, Boccon Gibod L et al (2010) Synthesis of the guidelines for the treatment of non-neurological urinary incontinence in women. Prog Urol 20(Suppl 2):S94–S99

    Article  PubMed  Google Scholar 

  18. Nacir M, Ballanger P, Donon L, Bernhard J-C, Douard A, Marit-Ducamp E et al (2013) ACT device: what place in the treatment of female urinary incontinence? Prog Urol 23(4):276–282

    Article  CAS  PubMed  Google Scholar 

  19. Gregori A, Romanò AL, Scieri F, Pietrantuono F, Incarbone GP, Salvaggio A et al (2010) Transrectal ultrasound–guided implantation of adjustable continence therapy (ProACT): surgical technique and clinical results after a mean follow-up of 2 years. Eur Urol 57(3):430–436

    Article  PubMed  Google Scholar 

  20. Rouprêt M, Misraï V, Gosseine P-N, Bart S, Cour F, Chartier-Kastler E (2011) Management of stress urinary incontinence following prostate surgery with minimally invasive adjustable continence balloon implants: functional results from a single center prospective study. J Urol 186(1):198–203

    Article  PubMed  Google Scholar 

  21. Chapple CR, Wein AJ, Brubaker L, Dmochowski R, Pons ME, Haab F et al (2005) Stress incontinence injection therapy: what is best for our patients? Eur Urol 48(4):552–565

    Article  PubMed  Google Scholar 

  22. Van Kerrebroeck P (2006) The motion: injectables are justified as a first option for stress urinary incontinence. Eur Urol 50(4):857–858 discussion 860

    Article  PubMed  Google Scholar 

  23. Corcos J, Fournier C (1999) Periurethral collagen injection for the treatment of female stress urinary incontinence: 4-year follow-up results. Urology 54(5):815–818

    Article  CAS  PubMed  Google Scholar 

  24. Nilsson CG, Palva K, Rezapour M, Falconer C (2008) Eleven years prospective follow-up of the tension-free vaginal tape procedure for treatment of stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 19(8):1043–1047

    Article  CAS  PubMed  Google Scholar 

  25. Bullock TL, Ghoniem G, Klutke CG, Staskin DR (2006) Advances in female stress urinary incontinence: mid-urethral slings. BJU Int 98(Suppl 1):32–40 discussion 41–42

    Article  PubMed  Google Scholar 

  26. Lapitan MCM, Cody JD, Grant A (1996) Open retropubic colposuspension for urinary incontinence in women. In: Cochrane database of systematic reviews [Internet]. Wiley. Available on http://onlinelibrary.wiley.com.accesdistant.upmc.fr/doi/10.1002/14651858.CD002912.pub2/abstract

  27. Norton P, Brubaker L (2006) Urinary incontinence in women. Lancet 367(9504):57–67

    Google Scholar 

  28. Bezerra CC, Bruschini H, Cody JD (1996) Traditional suburethral sling operations for urinary incontinence in women. In: Cochrane database of systematic reviews [Internet]. Wiley. Available on http://onlinelibrary.wiley.com.accesdistant.upmc.fr/doi/10.1002/14651858.CD001754.pub2/abstract

  29. Wadie BS, Edwan A, Nabeeh AM (2005) Autologous fascial sling vs polypropylene tape at short-term follow up: a prospective randomized study. J Urol 174(3):990–993

    Article  PubMed  Google Scholar 

  30. Bai SW, Sohn WH, Chung DJ, Park JH, Kim SK (2005) Comparison of the efficacy of Burch colposuspension, pubovaginal sling, and tension-free vaginal tape for stress urinary incontinence. Int J Gynecol Obstet 91(3):246–251

    Article  CAS  Google Scholar 

  31. Phé V, Rouprêt M, Mozer P, Chartier-Kastler E (2013) Trends in the landscape of artificial urinary sphincter implantation in men and women in France over the past decade. Eur Urol 63(2):407–408. doi:10.1016/j.eururo.2012.10.040

    Article  PubMed  Google Scholar 

  32. Vayleux B, Rigaud J, Luyckx F, Karam G, Glémain P, Bouchot O et al (2011) Female urinary incontinence and artificial urinary sphincter: study of efficacy and risk factors for failure and complications. Eur Urol 59(6):1048–1053

    Article  PubMed  Google Scholar 

  33. Revaux A, Rouprêt M, Seringe E, Misraï V, Cour F, Chartier-Kastler E (2011) Is the implantation of an artificial urinary sphincter with a large cuff in women with severe urinary incontinence associated with worse perioperative complications and functional outcomes than usual? Int Urogynecol J 22(10):1319–1324

    Article  PubMed  Google Scholar 

  34. Roupret M, Chartier-Kastler E, Richard F (2005) Artificial urinary sphincters in women: indications, techniques, results. Prog Urol 15(3):489–493

    PubMed  Google Scholar 

  35. Chung E, Cartmill RA (2010) 25-year experience in the outcome of artificial urinary sphincter in the treatment of female urinary incontinence. BJU Int 106(11):1664–1667

    Article  PubMed  Google Scholar 

  36. Petero VG Jr, Diokno AC (2006) Comparison of the long-term outcomes between incontinent men and women treated with artificial urinary sphincter. J Urol 175(2):605–609

    Article  PubMed  Google Scholar 

  37. Chung E, Navaratnam A, Cartmill R (2011) Can artificial urinary sphincter be an effective salvage option in women following failed anti-incontinence surgery? Int Urogynecol J 22(3):363–366

    Article  PubMed  Google Scholar 

  38. Thomas K, Venn SN, Mundy AR (2002) Outcome of the artificial urinary sphincter in female patients. J Urol 167(4):1720–1722

    Article  CAS  PubMed  Google Scholar 

  39. Venn SN, Greenwell TJ, Mundy AR (2000) The long-term outcome of artificial urinary sphincters. J Urol 164(3, Part 1):702–707

    Article  CAS  PubMed  Google Scholar 

  40. Diokno AC, Hollander JB, Alderson TP (1987) Artificial urinary sphincter for recurrent female urinary incontinence: indications and results. J Urol 138(4):778–780

    CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Urology, Assistance Publique-Hôpitaux de Paris, Pitié-Salpêtrière Academic Hospital, Pierre et Marie Curie Medical School, Paris 6 University, 47-83 boulevard de l’hôpital, 75651, Paris, Cedex 13, France

    Véronique Phé, Kien Nguyen, Morgan Rouprêt, Vincent Cardot, Jérôme Parra & Emmanuel Chartier-Kastler

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  1. Véronique Phé
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  2. Kien Nguyen
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  3. Morgan Rouprêt
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  4. Vincent Cardot
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  5. Jérôme Parra
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  6. Emmanuel Chartier-Kastler
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Correspondence to Véronique Phé.

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Phé, V., Nguyen, K., Rouprêt, M. et al. A systematic review of the treatment for female stress urinary incontinence by ACT® balloon placement (Uromedica, Irvine, CA, USA). World J Urol 32, 495–505 (2014). https://doi.org/10.1007/s00345-013-1117-0

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  • DOI: https://doi.org/10.1007/s00345-013-1117-0

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