Efficacy of the VIRTUE male quadratic sling in the treatment of stress urinary incontinence: A retrospective study.

To assess the efficacy and the impact on the quality of life (QoL) of patients suffering stress urinary incontinence (SUI) treated with VIRTUE © sling.

Retrospective monocenteric study where patients treated with VIRTUE © sling were included between January 2016 and May 2018. The severity of the incontinence was judged based on the number of protection used per day (PPD) and/or on the 24hours pad test into mild, moderate and severe: ≥2 protections and/or <100ml/24h, 3-4 protections and/or 101-200ml/24h, >4 protections and/or>200ml/24h respectively. The criteria of success was achieved when the patient is dry or ameliorated. The ICIQ- UI sf questionnaire was used as a measure of QoL.

Thirty-five patients were included in this study with mean follow up time of 11 months (range: 3-26). Twenty-nine patients had a radical prostatectomy, 3 had endoscopic treatment for benign prostatic hyperplasia, 9 patient had radiotherapy of which one had a complementary focal treatment (HIFU), and two patients had spinal cord injury. The success rate was 83%. The score ICIQ-UI sf showed a statistical difference between the pre and post-operative periods in both success and failure groups (P<0.001). History of radiotherapy, low bladder compliance, and severe incontinence were associated with negative result. Pain was the most recorded post-operative complication and no>grade 2 Clavien Dindo complications were encountered.

The VIRTUE © sling seems to be an effective, safe tool treating SUI at short term.

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Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie. 2019 Aug 03 [Epub]

A Abdullah, F Machkour, E Bouchet, X Plainard, A Descazeaud

Service de chirurgie urologique et andrologique, CHU de Limoges, 2, avenue de Martin Luther-King, 87100 Limoges, France; Department of surgery (Urology unit), Al-Amiri hospital, Kuwait City, Kuwait. Electronic address: ., Service de chirurgie urologique et andrologique, CHU de Limoges, 2, avenue de Martin Luther-King, 87100 Limoges, France., Service de chirurgie urologique et andrologique, CHU de Limoges, 2, avenue de Martin Luther-King, 87100 Limoges, France. Electronic address: .

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