Virtue male sling for post-prostatectomy stress incontinence: a prospective evaluation and mid-term outcomes

Matteo Ferro, Danilo Bottero, Carolina D'Elia, Deliu Victor Matei, Antonio Cioffi, Gabriele Cozzi, Alessandro Serino, Giovanni Cordima, Roberto Bianchi, Piero Giacomo Incarbone, Antonio Brescia, Gennaro Musi, Ferdinando Fusco, Serena Detti, Vincenzo Mirone, Ottavio de Cobelli

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: To evaluate the efficacy and safety of the Virtue®male sling (Coloplast, Humlebaek, Denmark) in a cohort of patients affected by post-prostatectomy stress urinary incontinence (SUI).

METHODS: All 29 consecutive patients treated with a Virtue male sling at our Institution between July 2012 and October 2013 were included in the present prospective, non-randomized study. Patients were evaluated preoperatively and at 1, 3, 6, 12, 24 and 36 months after surgery using a 24-h pad weight test, the International Consultation on Incontinence short-form questionnaire (ICIQ-SF), Urinary Symptom Profile (USP) questionnaire, a bladder diary, uroflowmetry and the Patient Global Impression of Improvement (PGI-I) and Patient Global Impression of Severity questionnaires.

RESULTS: The mean patient age was 65.5 years. A total of 72.4% of patients had preoperative mild incontinence (1-2 pads/day), while nine patients used 3-5 pads/day. There were a total of 17 complications, which occurred in 29 patients (58.6%); all were Clavien-Dindo grade I. At 12-month follow-up patients showed a significant improvement in 24-h pad test (128.6 vs 2.5 g), number of pads per day (2 vs 0), ICIQ-SF score (14.3 vs 0.9) and USP score for SUI (4 vs 0), and outcomes remained stable at 36 months. At last follow-up, the median score on the PGI-I questionnaire was 1 (very much better).

CONCLUSION: The Virtue male sling is an effective treatment option for low to moderate post-prostatectomy incontinence.

Original languageEnglish
Pages (from-to)482-488
Number of pages7
JournalBJU International
Volume119
Issue number3
DOIs
Publication statusPublished - Mar 2017

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Suburethral Slings
Prostatectomy
Stress Urinary Incontinence
Denmark
Urinary Bladder
Referral and Consultation

Keywords

  • Aged
  • Humans
  • Male
  • Postoperative Complications/surgery
  • Prospective Studies
  • Prostatectomy
  • Prosthesis Design
  • Suburethral Slings/adverse effects
  • Time Factors
  • Treatment Outcome
  • Urinary Incontinence, Stress/surgery

Cite this

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title = "Virtue male sling for post-prostatectomy stress incontinence: a prospective evaluation and mid-term outcomes",
abstract = "OBJECTIVE: To evaluate the efficacy and safety of the Virtue{\circledR}male sling (Coloplast, Humlebaek, Denmark) in a cohort of patients affected by post-prostatectomy stress urinary incontinence (SUI).METHODS: All 29 consecutive patients treated with a Virtue male sling at our Institution between July 2012 and October 2013 were included in the present prospective, non-randomized study. Patients were evaluated preoperatively and at 1, 3, 6, 12, 24 and 36 months after surgery using a 24-h pad weight test, the International Consultation on Incontinence short-form questionnaire (ICIQ-SF), Urinary Symptom Profile (USP) questionnaire, a bladder diary, uroflowmetry and the Patient Global Impression of Improvement (PGI-I) and Patient Global Impression of Severity questionnaires.RESULTS: The mean patient age was 65.5 years. A total of 72.4{\%} of patients had preoperative mild incontinence (1-2 pads/day), while nine patients used 3-5 pads/day. There were a total of 17 complications, which occurred in 29 patients (58.6{\%}); all were Clavien-Dindo grade I. At 12-month follow-up patients showed a significant improvement in 24-h pad test (128.6 vs 2.5 g), number of pads per day (2 vs 0), ICIQ-SF score (14.3 vs 0.9) and USP score for SUI (4 vs 0), and outcomes remained stable at 36 months. At last follow-up, the median score on the PGI-I questionnaire was 1 (very much better).CONCLUSION: The Virtue male sling is an effective treatment option for low to moderate post-prostatectomy incontinence.",
keywords = "Aged, Humans, Male, Postoperative Complications/surgery, Prospective Studies, Prostatectomy, Prosthesis Design, Suburethral Slings/adverse effects, Time Factors, Treatment Outcome, Urinary Incontinence, Stress/surgery",
author = "Matteo Ferro and Danilo Bottero and Carolina D'Elia and Matei, {Deliu Victor} and Antonio Cioffi and Gabriele Cozzi and Alessandro Serino and Giovanni Cordima and Roberto Bianchi and Incarbone, {Piero Giacomo} and Antonio Brescia and Gennaro Musi and Ferdinando Fusco and Serena Detti and Vincenzo Mirone and {de Cobelli}, Ottavio",
note = "{\circledC} 2016 The Authors BJU International {\circledC} 2016 BJU International Published by John Wiley & Sons Ltd.",
year = "2017",
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doi = "10.1111/bju.13672",
language = "English",
volume = "119",
pages = "482--488",
journal = "BJU International",
issn = "1464-4096",
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}

TY - JOUR

T1 - Virtue male sling for post-prostatectomy stress incontinence

T2 - a prospective evaluation and mid-term outcomes

AU - Ferro, Matteo

AU - Bottero, Danilo

AU - D'Elia, Carolina

AU - Matei, Deliu Victor

AU - Cioffi, Antonio

AU - Cozzi, Gabriele

AU - Serino, Alessandro

AU - Cordima, Giovanni

AU - Bianchi, Roberto

AU - Incarbone, Piero Giacomo

AU - Brescia, Antonio

AU - Musi, Gennaro

AU - Fusco, Ferdinando

AU - Detti, Serena

AU - Mirone, Vincenzo

AU - de Cobelli, Ottavio

N1 - © 2016 The Authors BJU International © 2016 BJU International Published by John Wiley & Sons Ltd.

PY - 2017/3

Y1 - 2017/3

N2 - OBJECTIVE: To evaluate the efficacy and safety of the Virtue®male sling (Coloplast, Humlebaek, Denmark) in a cohort of patients affected by post-prostatectomy stress urinary incontinence (SUI).METHODS: All 29 consecutive patients treated with a Virtue male sling at our Institution between July 2012 and October 2013 were included in the present prospective, non-randomized study. Patients were evaluated preoperatively and at 1, 3, 6, 12, 24 and 36 months after surgery using a 24-h pad weight test, the International Consultation on Incontinence short-form questionnaire (ICIQ-SF), Urinary Symptom Profile (USP) questionnaire, a bladder diary, uroflowmetry and the Patient Global Impression of Improvement (PGI-I) and Patient Global Impression of Severity questionnaires.RESULTS: The mean patient age was 65.5 years. A total of 72.4% of patients had preoperative mild incontinence (1-2 pads/day), while nine patients used 3-5 pads/day. There were a total of 17 complications, which occurred in 29 patients (58.6%); all were Clavien-Dindo grade I. At 12-month follow-up patients showed a significant improvement in 24-h pad test (128.6 vs 2.5 g), number of pads per day (2 vs 0), ICIQ-SF score (14.3 vs 0.9) and USP score for SUI (4 vs 0), and outcomes remained stable at 36 months. At last follow-up, the median score on the PGI-I questionnaire was 1 (very much better).CONCLUSION: The Virtue male sling is an effective treatment option for low to moderate post-prostatectomy incontinence.

AB - OBJECTIVE: To evaluate the efficacy and safety of the Virtue®male sling (Coloplast, Humlebaek, Denmark) in a cohort of patients affected by post-prostatectomy stress urinary incontinence (SUI).METHODS: All 29 consecutive patients treated with a Virtue male sling at our Institution between July 2012 and October 2013 were included in the present prospective, non-randomized study. Patients were evaluated preoperatively and at 1, 3, 6, 12, 24 and 36 months after surgery using a 24-h pad weight test, the International Consultation on Incontinence short-form questionnaire (ICIQ-SF), Urinary Symptom Profile (USP) questionnaire, a bladder diary, uroflowmetry and the Patient Global Impression of Improvement (PGI-I) and Patient Global Impression of Severity questionnaires.RESULTS: The mean patient age was 65.5 years. A total of 72.4% of patients had preoperative mild incontinence (1-2 pads/day), while nine patients used 3-5 pads/day. There were a total of 17 complications, which occurred in 29 patients (58.6%); all were Clavien-Dindo grade I. At 12-month follow-up patients showed a significant improvement in 24-h pad test (128.6 vs 2.5 g), number of pads per day (2 vs 0), ICIQ-SF score (14.3 vs 0.9) and USP score for SUI (4 vs 0), and outcomes remained stable at 36 months. At last follow-up, the median score on the PGI-I questionnaire was 1 (very much better).CONCLUSION: The Virtue male sling is an effective treatment option for low to moderate post-prostatectomy incontinence.

KW - Aged

KW - Humans

KW - Male

KW - Postoperative Complications/surgery

KW - Prospective Studies

KW - Prostatectomy

KW - Prosthesis Design

KW - Suburethral Slings/adverse effects

KW - Time Factors

KW - Treatment Outcome

KW - Urinary Incontinence, Stress/surgery

U2 - 10.1111/bju.13672

DO - 10.1111/bju.13672

M3 - Article

C2 - 27696622

VL - 119

SP - 482

EP - 488

JO - BJU International

JF - BJU International

SN - 1464-4096

IS - 3

ER -