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Title: | The 'Mini-Jupette' technique for climacturia: a systematic review | Authors: | Ioannis, Mykoniatis Stavros, Tsiakaras Eliophotos, Savvides Georgios, Langas Anastasios, Anastasiadis VAN RENTERGHEM, Koenraad Robert, Andrianne |
Issue Date: | 2023 | Publisher: | SAGE PUBLICATIONS LTD | Source: | Therapeutic Advances in Urology, 15 , p. 1 -11 | Abstract: | Background:The leakage of urine during sexual arousal, known as climacturia, is an under-recognized clinical condition often overshadowed by erectile dysfunction in men who have undergone radical prostatectomy.Objectives:This study aims to determine and evaluate the role of the Mini-Jupette technique and its alternatives in the treatment of climacturia.Data sources and methods:We conducted a systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for systematic reviews. We searched Medline via PubMed, Scopus, and the Cochrane Library databases until October 2022.Results:We included seven studies involving 120 patients with climacturia. Different types of grafts were used, ranging from synthetic mesh to autologous grafts. In all seven studies, the use of the Adrianne Mini-Jupette (AMJ) and its alternatives showed a high percentage of improvement in climacturia, with reported complete resolution ranging from 65% to 93%. Regarding postoperative complications, one study reported the highest sling explantation rate at 11% (4/38), while other studies reported complications ranging from subjective symptoms such as dysuria and perineal pain to the need for subsequent artificial urinary sphincter placement.Conclusion:The AMJ sling and its variations are low-cost, time-efficient, and relatively safe procedures with high patient satisfaction rates among those treated for climacturia. | Notes: | Stavros, T (corresponding author), Aristotle Univ Thessaloniki, Fac Hlth Sci, Urol Thessaloniki, Ethnikis Aminis 41, Thessaloniki 54635, Central Macedon, Greece. drstavros90@gmail.com |
Keywords: | climacturia;erectile dysfunction;Mini-Jupette;penile prosthesis;radical prostatectomy;stress urinary incontinence | Document URI: | http://hdl.handle.net/1942/42041 | ISSN: | 1756-2872 | e-ISSN: | 1756-2880 | DOI: | 10.1177/17562872231215180 | ISI #: | 001122216200001 | Rights: | The Author(s), 2023. Article reuse guidelines: sagepub.com/journalspermissions . Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the Sage and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). | Category: | A1 | Type: | Journal Contribution |
Appears in Collections: | Research publications |
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The ‘Mini-Jupette’ technique for climacturia_ a systematic review.pdf | Published version | 470.67 kB | Adobe PDF | View/Open |
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