{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T01:00:50Z","timestamp":1759971650417,"version":"build-2065373602"},"reference-count":16,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T00:00:00Z","timestamp":1740960000000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJUI Compass"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>We aim to describe the ProACT implantation using flexible cystoscopic guidance and to report long\u2010term outcomes in these patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and Methods<\/jats:title><jats:p>This single\u2010centre retrospective study include all men who underwent ProACT\u2122 for SUI after RP using flexible cystoscopic guidance between 2007 and 2021. The implantation was performed via a perineal approach under general or locoregional anaesthesia. Accurate positioning was ensured using both real\u2010time fluoroscopic and endoscopic guidance (flexible cystoscopy retroflexed toward the bladder neck).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 196 men were included; 18% (<jats:italic>n<\/jats:italic>\u2009=\u200936) had previously undergone radiotherapy and 24% (<jats:italic>n<\/jats:italic>\u2009=\u200946) had undergone SUI surgery. The median (IQR) follow\u2010up time was 63 (24\u2013108) months. At the last follow\u2010up, 64% of participants still had their balloon in place, and the success and improvement rates were 62% and 17%, respectively. The perioperative complication rate was 5% (mainly bladder injury and acute urinary retention). Forty\u2010two per cent (<jats:italic>n<\/jats:italic>\u2009=\u200982) experienced at least one complication, mainly device deflation (28%). Definitive explantation occurred in 36% (<jats:italic>n<\/jats:italic>\u2009=\u200971), with secondary implantation of an artificial urinary sphincter in 96% (<jats:italic>n<\/jats:italic>\u2009=\u200968).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>ProACT\u00ae adjustable balloon implantation using flexible cystoscopic guidance appears to be an effective and safe long\u2010term procedure for men with SUI after RP.<\/jats:p><\/jats:sec>","DOI":"10.1002\/bco2.70005","type":"journal-article","created":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T17:05:55Z","timestamp":1741712755000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Flexible cystoscopy\u2010guided implantation of ProACT: Surgical technique and long\u2010term outcomes"],"prefix":"10.1002","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-6293-0304","authenticated-orcid":false,"given":"Dimitri","family":"Paillusson","sequence":"first","affiliation":[{"name":"Department of Urology Centre Hospitalier Universitaire de Nantes  Nantes France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie\u2010Liesse","family":"De Guerry","sequence":"additional","affiliation":[{"name":"Department of Urology Centre Hospitalier Universitaire de Nantes  Nantes France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"St\u00e9phane","family":"De Vergie","sequence":"additional","affiliation":[{"name":"Department of Urology Centre Hospitalier Universitaire de Nantes  Nantes France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0212-2840","authenticated-orcid":false,"given":"Marie\u2010Aim\u00e9e","family":"Perrouin\u2010Verbe","sequence":"additional","affiliation":[{"name":"Department of Urology Centre Hospitalier Universitaire de Nantes  Nantes France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,3,3]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.21243"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-023-04452-6"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2008.10.029"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2011.07.049"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.5489\/cuaj.1349"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2022.05.012"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0130867"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2005.05689.x"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2009.11.031"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.purol.2010.01.010"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11608-010-0291-4"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2011.10.033"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.24967"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.24103"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.24135"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.24355"}],"container-title":["BJUI Compass"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/bco2.70005","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T15:51:04Z","timestamp":1759938664000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/10.1002\/bco2.70005"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3]]},"references-count":16,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1002\/bco2.70005"],"URL":"https:\/\/doi.org\/10.1002\/bco2.70005","archive":["Portico"],"relation":{},"ISSN":["2688-4526","2688-4526"],"issn-type":[{"type":"print","value":"2688-4526"},{"type":"electronic","value":"2688-4526"}],"subject":[],"published":{"date-parts":[[2025,3]]},"assertion":[{"value":"2024-11-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70005"}}