{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T14:11:48Z","timestamp":1779372708438,"version":"3.53.1"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T00:00:00Z","timestamp":1764806400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T00:00:00Z","timestamp":1764806400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urol Nephrol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To assess the quality of life (QoL) and surgical outcomes of adjustable dual-balloon continence therapy (DBACT), ProACT\u2122 is a minimally invasive treatment for post-prostatectomy urinary incontinence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this retrospective, single-surgeon review conducted between September 2020 and March 2023, 21 patients with moderate-to-severe post-prostatectomy incontinence underwent ProACT\u2122 placement at a Midwest academic center. A chart review was conducted to extract procedural and outcomes data. Postoperative QoL surveys, including pads-per-day (PPD) and incontinence QoL (IQoL) scores, were administered.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The average patient age was 70\u00a0years. Six (28.6%) of the 21 patients had prior radiation. The average operating time was 61.14\u00a0min. Patients needed an average of 3.33 adjustments post-surgery. The average decrease in PPD was 5.93, with 81% of patients achieving meaningful dryness with the use of\u2009\u2264\u20092 PPD. 76% of patients felt that ProACT\u2122 helped their incontinence, improved their QoL, was worthwhile, and would recommend it to others. Of the 15 non-radiated patients, one had complications (6.67%). Of the 6 radiated patients, 5 (83.3%) had complications. There were no erosions in patients who were not previously radiated. There were no serious complications requiring prolonged hospitalization, such as sepsis or fistula formation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>ProACT\u2122 is a safe and effective treatment for incontinence after prostatectomy with high patient satisfaction and a low complication rate in patients without prior radiation. For radiated patients, ProACT\u2122 can be efficacious, but they should be counseled about slower improvement times and higher complication rates.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11255-025-04945-w","type":"journal-article","created":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T17:34:00Z","timestamp":1764869640000},"page":"1971-1978","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Adjustable dual-balloon therapy: quality of life after prostate incontinence treatment"],"prefix":"10.1007","volume":"58","author":[{"given":"Daniela","family":"Hinchman-Dominguez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Klock","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael P.","family":"Feloney","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3749-9872","authenticated-orcid":false,"given":"Sankalp","family":"Vinayak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,12,4]]},"reference":[{"issue":"8","key":"4945_CR1","first-page":"543","volume":"87","author":"C Khandelwal","year":"2013","unstructured":"Khandelwal C, Kistler C (2013) Diagnosis of urinary incontinence. 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All procedures were conducted in accordance with the ethical standards of the institution and with the 1964 Helsinki Declaration and its later amendments.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"This study was not part of a clinical trial and did not require clinical trial registration. The ProACT device was used as part of standard clinical care rather than as an investigational intervention.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Clinical trial registration"}},{"value":"Written informed consent was obtained from all patients included in this study.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Patient consent"}},{"value":"All necessary permissions to reproduce previously published material have been obtained.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Permission to reproduce material from other sources"}}]}}