Dejan Bratuš (Author), Gregor Hlebič (Author)

Abstract

Namen: Stresna inkontinenca urina je pri moških relativno redka in se pojavi kot posledica večjega operativnega posega, drugi vzroki stresne inkontinence urina se pri moških pojavljajo izjemoma. Ne glede na relativno majhno število prizadetih takšno uhajanje urina obolelim predstavlja velik medicinski in tudi socialni problem, saj se odpovejo normalnim dnevnim aktivnostim in se vse bolj omejujejo na domače okolje. Metode: Ena izmed možnosti zdravljenja stresne urinske inkontinence pri moških je tako imenovani InVance Male Sling sistem. Gre za minimalno invazivno kirurško metodo, pri kateri se na spodnjo stran pubične kosti z vijaki pritrdi poliesterska mrežica, ki tesni sečnico. V principu gre za sling operacijo. Rezultati: Na našem oddelku smo med letoma 2004 in 2007 z omenjeno prometodo zdravili osemintrideset bolnikov. Pri štiriintridesetih je šlo za stanje po radikalni odstranitvi prostate, pri štirih pa za stanje po transuretralni resekciji prostate. Čas spremljanja po posegu je pri vseh daljši od dveh let. Osemindvajset bolnikov navaja popolno ozdravitev (brez uporabe predlog), šest bolnikov navaja blago stresno inkontinenco (ena predloga dnevno), pri štirih bolnikih pa ni prišlo do izboljšanja. Pri nobenem bolniku nismo opažali zastoja urina ali na novo nastalih težav pri uriniranju, smo pa pri treh bolnikih srečali podaljšano gnojno izcejanje iz postoperativne rane in še pri treh kasno zavrnitev mrežice, zato smo pri teh bolnikih morali mrežico odstraniti. Imeli smo tudi bolnika z erozijo sečnice osem mesecev po posegu. Zaključek: Glede na naše rezultate lahko zapišemo, da je Invance sling operacija uspešna metoda zdravljenja moške stresne inkontinence urina z minimalnimi pooperativnimi zapleti.

Keywords

male urinary stress incontinence;sling procedure;minimally invasive procedure;treatment results;postoperative complications;

Data

Language: English
Year of publishing:
Typology: 1.01 - Original Scientific Article
Organization: UM - University of Maribor
Publisher: Medicinska fakulteta
UDC: 616.62-008.22
COBISS: 512121912 Link will open in a new window
ISSN: 1855-5640
Parent publication: Acta medico-biotechnica
Views: 1346
Downloads: 27
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Other data

Secondary language: Slovenian
Secondary title: ǂThe ǂInVance sling procedure for male stress urinary incontinence
Secondary abstract: Purpose: In men, stress urinary incontinence is relatively uncommon and usually follows a major surgical procedure. Other causes (neurogenic) are rare. Although uncommon, it has a big impact on the quality-of-life of affected patients because it interferes with their daily activities and social life. Methods: One of the recently developed methods of treating this condition is the InVancer Male Sling system. The silicone-coated polyester mesh is anchored to the pubic bone and supports the urethra, pressing it against the pubic symphisis. We analyzed the mid-term results of this method. Results: Two urologists treated 38 patients with this method between 2004 and 2007. Thirty-four subjects had urinary incontinence after radical prostatectomy and 4 cases after transurethral resection of the prostate. All had mild-to-moderate day-time stress urinary incontinence. Patients were followed up for ~2 years. Twenty-eight of them were completely dry and did not use any pads for protection. Six patients had mild residual stress urinary retention and used one pad daily. Four patients remained incontinent with no improvement. No major early complications, urinary retentions or de-novo micturition problems (urgency) were reported after the procedure. Conclusions:The InVance Sling method is a simple way to treat male stress urinary incontinence and has good mid. term results. Larger studies are needed to confirm the safety of this method.
Secondary keywords: stresna urinska inkontinenca pri moških;minimalno invazivni poseg;uspeh zdravljenja;postoperativni zapleti;
URN: URN:NBN:SI
Type (COBISS): Not categorized
Pages: str. 44-48
Volume: ǂVol. ǂ4
Issue: ǂ[no.] ǂ1
Chronology: 2011
ID: 1729668