PRO-ACT SUBSTITUTION FOR MECHANICAL RUPTURE OF THE PERIURETHRAL BALLOON: STEP-BY-STEP SURGICAL EDUCATION VIDEO
Abstract
Stress urinary incontinence is a feared complication after radical prostatectomybecause it impacts on the quality of life and determines a high rate of emotional distress.
When the first-line pharmacological and physical conservative treatments fail compression devices may be recommended.
The ProACT prosthesis is a postoperatively adjustable device that aims to achieve optimal outlet resistance by progressively increasing the volume of the periurethral balloons.
Furthemore, in case of mechanical rupture it may be easily substituted (removed and reimplanted) in expert centres.
In this video we present the clinical case of a male patient who had undergone PRO-ACT implantation about 10 years ago. Due to the rupture of the right balloon, its substitution was indicated and performed under ultrasound guidance.
Our aim is to provide a description of the surgical technique.
A set of simple steps, that makes the surgical procedure safe and easy to perform even in inexperienced hands.