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Title: Long-term assessment of the safety and effectivity of the mini-jupette sling: 5-year follow-up of the original series
Authors: Hammad, Muhammed A. M.
Barham, David W.
Osmonov, Daniar
Hatzichristodoulou, Georgios
Andrianne, Robert
Park, Sung Hun
Kohler, Tobias S.
Hellstrom, Wayne J. G.
Jenkins, Lawrence
Yafi, Faysal A.
Issue Date: 2023
Source: Translational Andrology and Urology, 12 (5) , p. 859 -865
Abstract: Background: In 2017, a prospective multicenter, multinational, investigational pilot study was conducted examining outcomes using a novel surgical technique, the Mini-Jupette sling, for the management of erectile dysfunction (ED) patients with climacturia and/or minimal stress urinary incontinence (SUI) after prostate procedures. Climacturia has been reported in up to 64% of patients following radical prostatectomy (RP). We sought to report the 5-year outcomes from this original cohort to assess long-term safety and effectivity of the mini-jupette sling in the treatment of ED and concomitant mild SUI and/or climacturia. Methods: This is a single-arm, multicenter, retrospective, observational study. We identified patients who were enrolled in the previous multicenter study with post-RP ED and climacturia and/or mild SUI- 2 PADS PER DAY (PPD) and underwent inflatable penile prosthesis (IPP) insertion with simultaneous placement of a mini-jupette sling. Data were collected including current PPD, subjective improvement in climacturia/SUI, complications, need for revision of IPP or additional urinary incontinence surgery, and date of most recent follow-up. SPSS was used for statistical analysis. Results: Of the original 38 patients, 5 have since died and 10 were lost to follow-up with 23/38 (61%) patients available for evaluation of long- term outcomes. The average follow- up time was 59 months (SD =8.8) with a mean age of 69 years (SD =6.8). Most patients (n=21, 91%) had subjective improvement of SUI and climacturia. One patient with persistent bothersome incontinence underwent artificial urinary sphincter (AUS) placement in 2018 with no complications, while the other is still considering a repeat procedure due to minor but persistent SUI. The mean PPD decreased from 1.4 preoperatively to 0.4 at a mean of 5 years of follow-up. Most patients reported satisfaction in their urinary symptoms with 91% and 73% reporting improvement in SUI and climacturia respectively, compared to 86% and 93% respectively in the original series. One (4.3%) patient had an IPP revision for pump malfunction. There were no device infections reported. Conclusions: The mini-jupette sling appears to be a safe and effective procedure with durable improvements in SUI and climacturia at 5 years of follow-up.
Notes: Hammad, MAM (corresponding author), 3800 W Chapman Ave,Suite 7200, Orange, CA 92868 USA.
Keywords: Erectile dysfunction (ED);radical prostatectomy (RP);penile prosthesis;stress urinary incontinence (SUI);climacturia
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ISSN: 2223-4683
e-ISSN: 2223-4691
DOI: 10.21037/tau-22-661
ISI #: 001053889700020
Rights: Translational Andrology and Urology. All rights reserved. Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the noncommercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See:
Category: A1
Type: Journal Contribution
Appears in Collections:Research publications

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