{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T06:30:04Z","timestamp":1778049004910,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2017,5,16]],"date-time":"2017-05-16T00:00:00Z","timestamp":1494892800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Urologia"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p> Artificial urinary sphincter (AUS) is an option for the treatment of neurogenic stress urinary incontinence (nSUI), but complications and re-operation rates are high, and there is no clear indication from guidelines ( 1 ). The aim of our study is to evaluate the effectiveness of a less invasive continence device in neurogenic population: Adjustable Continence Therapy ProACT\/ACT\u00ae. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> We retrospectively includedpatients with spinal cord injuries in this study, complaining of nSUI and treated at our Institution with Pro-ACT\/ACT\u00ae implantation. Diagnosis of nSUI was achieved with clinical history data collection and video-urodynamic testing. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> We treated 13 males and 3 females by proACT\/ACT device, mean age 47.5 years (range 27-71). Fifteen implantations were performed bilaterally under spinal anesthesia and under fluoroscopic control; in one male patient, only the right balloon was implanted. Mean refilling number was 2.8 (range 0-6), and mean final volume was 3.6 ml. No patient reported any perioperative complications according to Clavien-Dindo. Follow-up was 37 months (range 7-156). Five patients (31%) underwent device explantation for deflate in one case, erosion or migration in three cases (18%), and infection in one case. About 43.75% of patients were dry and 18.75% improved more than 50% their urine loss, 37.5% of patients improved less than 50%, and no one reported worsening of incontinence. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> Implantation of proACT\/ACT\u00ae device is safe and a minimally invasive procedure also in neurological patients, with a relative low rate of intra and postoperative complications. Efficacy is good, although slightly lower than the results in non-neurological patients. <\/jats:p><\/jats:sec>","DOI":"10.5301\/uj.5000242","type":"journal-article","created":{"date-parts":[[2017,5,19]],"date-time":"2017-05-19T15:41:57Z","timestamp":1495208517000},"page":"165-168","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Management of Male and Female Neurogenic Stress Urinary Incontinence in Spinal Cord Injured (SCI) Patients Using Adjustable Continence Therapy"],"prefix":"10.1177","volume":"84","author":[{"given":"Enrico","family":"Ammirati","sequence":"first","affiliation":[{"name":"Department of Urology, Citt\u00e0 della Salute e della Scienza di Torino, Molinette Hospital, Turin - Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto","family":"Manassero","sequence":"additional","affiliation":[{"name":"Department of Neuro-Urology, Citt\u00e0 della Salute e della Scienza di Torino, CTO-USU, Turin - Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandro","family":"Giamm\u00f2","sequence":"additional","affiliation":[{"name":"Department of Neuro-Urology, Citt\u00e0 della Salute e della Scienza di Torino, CTO-USU, Turin - Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"Carone","sequence":"additional","affiliation":[{"name":"Department of Neuro-Urology, Citt\u00e0 della Salute e della Scienza di Torino, CTO-USU, Turin - Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,5,16]]},"reference":[{"key":"bibr1-uj.5000242","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22682"},{"key":"bibr2-uj.5000242","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22263"},{"key":"bibr3-uj.5000242","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20120"},{"key":"bibr4-uj.5000242","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-2042.2008.02161.x"},{"key":"bibr5-uj.5000242","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2009.11.031"},{"key":"bibr6-uj.5000242","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2005.05689.x"},{"key":"bibr7-uj.5000242","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2012.07.131"},{"key":"bibr8-uj.5000242","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2010.01.019"},{"key":"bibr9-uj.5000242","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2010.10502.x"},{"key":"bibr10-uj.5000242","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2010.11.049"},{"key":"bibr11-uj.5000242","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2010.09501.x"},{"key":"bibr12-uj.5000242","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2008.03.046"},{"key":"bibr13-uj.5000242","doi-asserted-by":"publisher","DOI":"10.1111\/bju.12072"},{"key":"bibr14-uj.5000242","doi-asserted-by":"publisher","DOI":"10.1159\/000381880"},{"key":"bibr15-uj.5000242","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2010.09501.x"}],"container-title":["Urologia Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5301\/uj.5000242","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.5301\/uj.5000242","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5301\/uj.5000242","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T07:52:41Z","timestamp":1741074761000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.5301\/uj.5000242"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,5,16]]},"references-count":15,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2017,7]]}},"alternative-id":["10.5301\/uj.5000242"],"URL":"https:\/\/doi.org\/10.5301\/uj.5000242","relation":{},"ISSN":["0391-5603","1724-6075"],"issn-type":[{"value":"0391-5603","type":"print"},{"value":"1724-6075","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,5,16]]}}}