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논문 기본 정보

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학술저널
저자정보
Alexander Kretschmer (Department of Urology Ludwig-Maximilians-University) Tanja Hüsch (Department of Urology University Medical Center of Johannes-Gutenberg University) Frauke Thomsen (Department of Urology and Pediatric Urology University Hospital Frankfurt) Dominik Kronlachner (Department of Urology and Pediatric Urology University Hospital Frankfurt) Alice Obaje (Department of Urology St. Bernward Hospital Hildesheim) Ralf Anding (Department of Urology and Pediatric Urology University Hospital Bonn) Tobias Pottek (Department of Urology Asklepios Hospital West Hamburg) Achim Rose (Department of Urology and Pediatric Urology Helios Hospital Duisburg) Roberto Olianas (Department of Urology Hospital Lueneburg) Alexander Friedl (Department of Urology Hospital Göttlicher Heiland Vienna) Wilhelm Hübner (Department of Urology Hospital Weinviertel Korneuburg) Roland Homberg (Department of Urology and Pediatric Urology St. Barbara Hospital Hamm GmbH) Jesco Pfitzenmaier (Department of Urology Evangelic Hospital Bielefeld) Fabian Queissert (Department of Urology University Hospital Muenster) Carsten M. Naumann (Department of Urology and Pediatric Urology University Hospital Schleswig-Holstein) Carola Wotzka (Department of Urology Diakonie Hospital Stuttgart) Torben Hofmann (Department of Urology Diakonie Hospital Schwäbisch Hall) Roland Seiler (Department of Urology University Hospital Bern) Axel Haferkamp (Department of Urology University Medical Center of Johannes-Gutenberg University) Ricarda M. Bauer (Department of Urology Ludwig-Maximilians-University)
저널정보
대한배뇨장애요실금학회 International Neurourology Journal International Neurourology Journal 제21권 제2호
발행연도
2017.6
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109 - 115 (7page)

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Purpose: To analyze perioperative complications and postoperative explantation rates for selected readjustable male sling systems and the perineal single-cuff artificial urinary sphincter (AUS) in a large, contemporary, multi-institutional patient cohort. Methods: Two hundred eighty-two male patients who underwent implantation between 2010 and 2012 in 13 participating institutions were included in the study (n=127 adjustable male sling [n=95 Argus classic, n=32 Argus T], n=155 AUS). Perioperative characteristics and postoperative complications were analyzed. The explantation rates of the respective devices were assessed using the Fisher exact test and the Mann-Whitney U-test. A Kaplan-Meier curve was generated. Potential features associated with device explantation were analyzed using a multiple logistic regression model (P<0.05). Results: We found significantly increased intraoperative complication rates after adjustable male sling implantation (15.9% [adjustable male sling] vs. 4.2% [AUS], P=0.003). The most frequent intraoperative complication was bladder perforation (n=17). Postoperative infection rates did not vary significantly between the respective devices (P=0.378). Device explantation rates were significantly higher after AUS implantation (9.7% [adjustable male sling] vs. 21.5% [AUS], P=0.030). In multivariate analysis, postoperative infection was a strong independent predictor of decreased device survival (odds ratio, 6.556; P=0.001). Conclusions: Complication profiles vary between adjustable male slings and AUS. Explantation rates are lower after adjustable male sling implantation. Any kind of postoperative infections are independent predictors of decreased device survival. There is no significant effect of the experience of the implanting institution on device survival.
#Urinary Incontinence #Stress #Urinary Sphincter #Artificial #Complications

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참고문헌 (18)

참고문헌 신청
Lucas MG / 2012 / EAU guidelines on assessment and nonsurgical management of urinary incontinence / Eur Urol 62:1130~1142 google schola Lucas MG / 2012 / EAU guidelines on surgical treatment of urinary incontinence / Eur Urol 62:1118~1129 google schola Herschorn S / 2008 / The artificial urinary sphincter is the treatment of choice for post-radical prostatectomy incontinence / Can Urol Assoc J 2:536~539 google schola Kretschmer A / 2016 / Evaluation and management of postprostatectomy incontinence : a systematic review of current literature / Eur Urol Focus 2:245~259 google schola Van der Aa F / 2013 / The artificial urinary sphincter after a quarter of a century : a critical systematic review of its use in male non-neurogenic incontinence / Eur Urol 63:681~689 google schola

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