{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T13:09:33Z","timestamp":1789650573508,"version":"4.0.0"},"reference-count":25,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,6,10]],"date-time":"2022-06-10T00:00:00Z","timestamp":1654819200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The objective of this study was to assess the mid\u2010term efficacy and safety of adjustable continence therapy (ProACT\u2122) for the treatment of male stress urinary incontinence (SUI) after radical prostatectomy (RP).<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and Methods<\/jats:title><jats:p>Single\u2010center retrospective study including male patients implanted with ProACT\u2122 periurethral balloons for SUI after RP between 2007 and 2017, mainly with flexible cystoscopic guidance. Efficacy was assessed using a composite endpoint with subjective (patient's impression of improvement (PII), using a 0\u2013100 numeral rating scale) and objective outcomes (decrease in daily pad use). Postoperative success was defined as a PII\u2009\u2265\u200980%, associated with the use of 0\u20131 pad daily. Improvement was defined as a PII\u2009\u2265\u200950% and a decrease \u226550% in the number of daily pads used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two hundred\u00a0men with a median age of 68 (64\u201373) years were included. Seventeen percent\u00a0(<jats:italic>n<\/jats:italic>\u2009=\u200934) had had prior radiotherapy and 15.5% (<jats:italic>n<\/jats:italic>\u2009=\u200931) had had prior SUI surgery. The median follow\u2010up was 43 (19\u201371) months. The severity of SUI was as follows: mild in 119 (59.5%), moderate in 48 (24%), and severe in 33 patients (16.5%). Severe SUI and a history of prior radiotherapy were associated with a lower success rate (<jats:italic>p<\/jats:italic>\u2009=\u20090.033 and <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001). The overall reoperation rate was 34%, with 5.6% (<jats:italic>n<\/jats:italic>\u2009=\u200911) requiring a third implantation. Of the patients,\u00a029.4% (<jats:italic>n<\/jats:italic>\u2009=\u200958) required an artificial urinary sphincter to treat SUI. At the last follow up, among the overall population, the success rate was 40.1% and the median PII was 18.3%. For patients in whom the balloons were still in place (<jats:italic>n<\/jats:italic>\u2009=\u2009132), the cumulative success and improvement rate was 78%, with a median PII of 72%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The minimally invasive ProACT\u2122 device provides a clear beneficial continence outcome in patients with SUI after radical prostatectomy. Severe SUI or prior radiotherapy were associated with a lower success rate in our study.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.24967","type":"journal-article","created":{"date-parts":[[2022,6,10]],"date-time":"2022-06-10T08:59:25Z","timestamp":1654851565000},"page":"1414-1422","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Adjustable continence balloons in postprostatectomy incontinence: Outcomes and complications"],"prefix":"10.1002","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1888-0822","authenticated-orcid":false,"given":"H\u00e9l\u00e8ne","family":"Ricard","sequence":"first","affiliation":[{"name":"Department of Urology, H\u00f4tel\u2010Dieu Hospital University of Nantes Nantes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gr\u00e9goire","family":"L\u00e9on","sequence":"additional","affiliation":[{"name":"Department of Urology, H\u00f4tel\u2010Dieu Hospital 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