Abstract
According to the most recent version of the European Association of Urology (EAU) Guidelines on urinary incontinence, there is very limited short-term evidence suggesting that the non-circumferential compression device (ProACT) is an effective treatment of post-prostatectomy stress urinary incontinence. The European guidelines give cautious recommendations because the implant of ProACT is associated with a high failure and complication rates, leading to frequent explantation. For this reason they recommend that the implantation of artificial compression device (ProACT) for men should only be offered in expert centers. Nevertheless, they advise to warn men receiving ProACT that, even in expert centers, there is a high risk of complications, mechanical failure, or a need for explantation. They warn, furthermore, to avoid the implant of ProACT in men who have had pelvic radiotherapy, at higher risk of failure [1].
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Giammò, A. (2020). ProACT for Urinary Incontinence (Early, Intermediate, and Long-Term Complications). In: Siracusano, S., Dodi, G., Pennisi, M., Gozzi, C., Pastore, A., Cerruto, M. (eds) Complications of Surgery for Male Urinary and Fecal Incontinence. Urodynamics, Neurourology and Pelvic Floor Dysfunctions. Springer, Cham. https://doi.org/10.1007/978-3-319-98264-9_14
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