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To validate Andrianne's results, we conducted a prospective, multi-institutional, international study of 38 patients with concomitant ED and climacturia and/or minimal SUI who underwent IPP and Mini-Jupette placement. At a mean follow-up of 5.1 months, SUI improved in in 89% of patients with 75% describing complete resolution. Subjective improvement in climacturia was reported in 93% of patients, with 68% describing complete resolution. There were 5 post-operative complications, 3 of which required IPP explantation. These complications, however, occurred earlier in our experience and are avoidable with our revised strategies for better tensioning and suturing of the graft.
Overall, the Mini-Jupette is a feasile adjunct to IPP that can be used for subsets of patients with post-RP climacturia and/or mild SUI.
Written by: Faysal A. Yafi, M.D., F.R.C.S.C. University of California Irvine/Department of Urology, Assistant Clinical Professor/Director of Men's Health, Orange, CA
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