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Techniques in Wrist and Hand Arthroscopy 1

2007年

作者： david j. slutsky Daniel j. Nagle

ISBN: (纸本)9780443066979

Enhance your skills in arthroscopic surgery - an increasingly important aspect of the treatment of a variety of traumatic and degenerative ailments of the hand. Leaders in the field describe their preferred approaches in step-by-step detail - emphasizing what outcomes you can expect - and also examine the diagnostic advantages of this precise technique. A bonus DVD features video clips of the procedures described in the book, enabling you to see these performed in real time!

关键词： Hand j.intssurgery

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Five Years Follow-Up of Adj.stable Continence Therapy (ACT) in the Treatment of Recurrent Female SUI

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Open j.urnal of Urology 2013年第2期3卷 132-137页

作者： Niall T. Galloway Sherif R. Aboseif Pej.ak Sassani Ethan I. Franke Steven D. Nash j.el N. slutsky Mai Le Tu Peter j. Pommerville Neil H. Baum Suzette E. Sutherland Can-Med Clinical Research Inc. Victoria BC Canada CHUS Flairmont Quebec City Canada Emory University School of Medicine Atlanta USA Kaiser Permanente medical Center Los Angeles USA Kansas City Urology Care Leawood USA Metro Urology Centers for Continence Care and Female Urology Minneapolis/St Paul USA Neil Baum Urology New Orleans USA Urological Surgeons Kankakee USA

Purpose/Obj.ctive: The primary obj.ctive of this FDA study is to evaluate the safety and efficacy of the ACT device (Adj.stable Continence Therapy) in the treatment of female recurrent Stress Urinary Incontinence (SUI). The secondary obj.ctive is to evaluate the difficulty of placement and aspects of device adj.stability. Materials and Methods: The Adj.stable Continence Therapy (ACT) system (Uromedica, Inc., Plymouth, MN) consists of two silicone balloons providing urethral coaption and bladder neck support. Each balloon is attached to a titanium port buried in the labia allowing for post-operative adj.stment of volume. Females with recurrent SUI with or without urethral hypermobility were evaluated at baseline and follow-up periods of 6 weeks, 3, 6, 9, 12 months and annually thereafter including urinalysis, a 3-day voiding diary, provocative pad weight test, direct visual stress test, Stamey score and validated questionnaires to assess severity of incontinence, voiding dysfunction, sexual function and quality of life. Results: During a 5 years period (2002-2007), 162 patients were implanted (mean age 67.6, range 31 - 94 years). Of these 162 patients 142, 90, 80, 56 and 31 patients completed the 1, 2, 3, 4 and 5 years follow-up respectively. One hundred and thirty five (83%) had failed at least one surgery for incontinence and 44% had failed 2 or more procedures prior to ACT implantation. Difficulty of ACT placement was rated mild in 62%, moderate in 30% and severe in 9%. Improvement in Stamey score of >1 grade was achieved in 75% (107/142) at 1 year, 76% (68/90) at 2 years, 86% (62/78) at 3 years, 93% (50/54) at 4 years and 83% (25/30) at 5 years. Dry rate (provocative pad weight 2 gms) was 51%, 62% , 76%, 76% and 76% at 1 through 5 years, and >50% improvement was achieved in 83%, 86%, 86%, 90% and 93%,respectively. IQoL improved from 37 at baseline to 71, 71, 75, 77 and 74 during the study, and optimal continence was achieved with a mean of 4 adj.stments, and mean

关键词： Female Urinary Incontinence Implant Balloon Adj.stments Safety Stamey Score

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