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![Conclusions Results Adjustable bulbourethral sling ARGUS ® is effective also in severe male incontinence: An alternative to artificial sphincter. Hind A, 1 Pini G, 2 Rossi R, 1 Viola D, 1 Martino F 1 and Leoni S 1 1 Dept. of Urology, ASMN Reggio Emilia , ITALY 2 Dept. of Urology, University of Modena & Reggio Emilia, ITALY Introduction & Objectives Methods Between 07/2006 and 03/2009 (32 months) 48 men, with urodynamically confirmed stress urinary incontinence (SUI), underwent to the male adjustable perineal sling ARGUS® (PROMEDON, Cordoba, Argentina ). Recently there have been developed some new bulbourethral slings that lack adjustability, which any way, seem to result superior to the periurethral bulking agents and limiting the indication of the artificial urinary sphincter with lower complication rate. We present our experience with an adjustable bulbourethral sling in 48 incontinent patient with 32 months follow up reporting results, complications and postoperative urodynamic evaluation. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],a b c MP56 d e *ICIQ-SF: International Consultation on Incontinence - Short Form (score 0-21) # PGI-I score: Patient Global Impression of Improvement (Score 1-7) Complication Infection 0 Erosion 0 Rejection 0 Perineal disconfort 18 ( 37,5%) Clinical Evaluation PRE-OPERATIVE POST-OPERATIVE Pad Test 24h (g) Pad Test 24h (g) ICIQ-SF Questionaire* ICIQ-SF Questionaire* Urethrocystoscopy PGI-I score # Urodynamics Uroflowmetry PVR (1°,3°,6°,12°,24°) Full Urodynamic Study SUI Etiology TURP 2 Prostatectomy Simple Open 3 Radical Retropubic 31 Radical Laparoscopic 8 Bladder Neck Incision (BN sclerosis post RP) 4 Adjuvant EBRT 14 (29.2%) Other prosthesis 14 (29.2%) Kegel Exercises 22 (45.8%) SUI Classification ≤ 150g MILD 13pz 150≥ >400g MODERATE 21pz ≥ 400g SEVERE 14pz Outcomes Follow up (months) 18 (1-32) Success 44 (91.6%) 16 (33.3%) Totally Dry 28 (58.3%) Some drops @ increase of Abd Press 11 (22.9%) After Adjustment Partially Improved 2 (4.2%) up to 50% @ Pad Test24h Failed 2 (4.2%) Removed QoL ICIQ-SF -15,4 (-9,-20) PGI-I score 1,75 (1-4) Adjustment Mean time (#) 1,9 (1-3) Time elapsed (day) 15 (7-65) Thightening (pt) 7 Loosening (pt) 4](https://image.slidesharecdn.com/posteraua-090429030923-phpapp02/85/Poster-Aua-1-320.jpg)
