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array:24 [ "pii" => "S0210480609741464" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74146-4" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74146" "copyright" => "Asociación Española de Urología (AEU)" "copyrightAnyo" => "2009" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:309-14" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1767 "formatos" => array:3 [ "EPUB" => 7 "HTML" => 885 "PDF" => 875 ] ] "itemSiguiente" => array:18 [ "pii" => "S0210480609741476" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74147-6" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74147" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Actas Urol Esp. 2009;33:315-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1801 "formatos" => array:3 [ "EPUB" => 6 "HTML" => 1090 "PDF" => 705 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Perforación de la uretra proximal durante TVT-O, en paciente con desviación uretral secundaria a cirugía de Burch fallida" "tienePdf" => array:2 [ 0 => "es" 1 => "en" ] "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "315" "paginaFinal" => "317" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Proximal urethra portion perforation during TVT-O in a patient with urethral deviation secondary to previous failed Burch surgery" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:2 [ "es" => true "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Paolo Ricci Arriola, Vicente Solà Dalenz, Jack Pardo Schanz" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Paolo" "apellidos" => "Ricci Arriola" ] 1 => array:2 [ "nombre" => "Vicente" "apellidos" => "Solà Dalenz" ] 2 => array:2 [ "nombre" => "Jack" "apellidos" => "Pardo Schanz" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609741476?idApp=UINPBA00004N" "url" => "/02104806/0000003300000003/v1_201304251925/S0210480609741476/v1_201304251925/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0210480609741452" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74145-2" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74145" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:304-8" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1901 "formatos" => array:3 [ "EPUB" => 7 "HTML" => 1200 "PDF" => 694 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Valoración de las interconsultas realizadas a un servicio de urología, a nivel hospitalario" "tienePdf" => array:2 [ 0 => "es" 1 => "en" ] "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "304" "paginaFinal" => "308" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Evaluation of the consultants to a urology service at hospital level" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:2 [ "es" => true "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Patricio Navarro Medina, Antonio Blanco Diez, Alejandro Alvarado Rodriguez, Eduardo Barroso Deyne, José Luis Artiles Hernández, Nicolás Chesa Ponce" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Patricio" "apellidos" => "Navarro Medina" ] 1 => array:2 [ "nombre" => "Antonio" "apellidos" => "Blanco Diez" ] 2 => array:2 [ "nombre" => "Alejandro" "apellidos" => "Alvarado Rodriguez" ] 3 => array:2 [ "nombre" => "Eduardo" "apellidos" => "Barroso Deyne" ] 4 => array:2 [ "nombre" => "José" "apellidos" => "Luis Artiles Hernández" ] 5 => array:2 [ "nombre" => "Nicolás" "apellidos" => "Chesa Ponce" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609741452?idApp=UINPBA00004N" "url" => "/02104806/0000003300000003/v1_201304251925/S0210480609741452/v1_201304251925/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Resultados a largo plazo del estudio multicéntrico fase III del tratamiento de la incontinencia de orina post prostatectomía con un sling masculino ajustable: seguimiento mínimo 3 años" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "309" "paginaFinal" => "314" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "V. Salomon Romano, E. Sergio Metrebian, Vaz Fernando, Muller Valter, A. Carlos Levi D’Ancona, A. Eugenio Costa de Souza, Fabio Nakamura" "autores" => array:7 [ 0 => array:4 [ "nombre" => "V." "apellidos" => "Salomon Romano" "email" => array:1 [ 0 => "sromano1@arnet.com.ar" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "E." "apellidos" => "Sergio Metrebian" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Vaz" "apellidos" => "Fernando" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "Muller" "apellidos" => "Valter" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0015" ] ] ] 4 => array:3 [ "nombre" => "A." "apellidos" => "Carlos Levi D’Ancona" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">****</span>" "identificador" => "aff0020" ] ] ] 5 => array:3 [ "nombre" => "A." "apellidos" => "Eugenio Costa de Souza" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*****</span>" "identificador" => "aff0025" ] ] ] 6 => array:3 [ "nombre" => "Fabio" "apellidos" => "Nakamura" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">******</span>" "identificador" => "aff0030" ] ] ] ] "afiliaciones" => array:6 [ 0 => array:3 [ "entidad" => "Urology Department, Hospital Durand. Buenos Aires, Argentina" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Urology Department, Hospital Privado, Cordoba, Argentina" "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Urology Department, Hospital Dos Servidores Do Estado, Rio De Janeiro,Brasil" "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Urology Department, Universidad De Unicamp, Campinas, Brasil" "etiqueta" => "****" "identificador" => "aff0020" ] 4 => array:3 [ "entidad" => "Urology Department, Fundaçao Felice Rosso, Belo Horizonte Brasil" "etiqueta" => "*****" "identificador" => "aff0025" ] 5 => array:3 [ "entidad" => "Centro Medico Ultralitho, Florianopolis, Brazil" "etiqueta" => "******" "identificador" => "aff0030" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia autor: Dr. Salomon V. Romano Departamento de Urología. Hospital Durand. Díaz Vélez 5044. Parque Centenario, Buenos Aires. Argentina Tel.: 49825555" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Long term results of a phase III multicentre trial of the adjustable male sling for treating urinary incontinence after prostatectomy: minimum 3 years" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-07-01" "fechaAceptado" => "2008-10-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec88885" "palabras" => array:3 [ 0 => "Swing masculino ajustable" 1 => "Incontinencia masculina" 2 => "Incontinencia pos prostatectomía" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec88886" "palabras" => array:3 [ 0 => "Adjustable male sling" 1 => "Male incontinence" 2 => "Incontinence pos-prostatectomy" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Comunicar los resultados a largo plazo del estudio multicéntrico fase III del tratamiento de la incontinencia post- prostatectomía (IPP) con un Sling masculino ajustable (Argus®)1.</p> <span class="elsevierStyleSectionTitle">Pacientes y método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">48 pacientes con IPP, 39 post radical y 9 post adenomectomía, ingresaron entre abril de 2003 y septiembre de 2004. 19 usaban 5 paños por día (3-8) pesando 83 gr. (17-198) por paño. 29 usaban clamp peniano o colector externo. El seguimiento promedio fue de 45 meses (36 -54). La edad fue de 67años (52-77). Fueron evaluados con el cuestionario ICIQ-SF y la calificación de seco (sin paños), mejora (1 paño) y falla (2 o más paños en 24 hs), incluyéndose a los slings extraídos. El Argus se implantó por vía perineal, transfiriéndolo con agujas al abdomen para ser ajustado y fijado con arandelas. El ajuste se realizó por presión uretral retrograda (PUR) entre 45 y 55cm de agua.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Evaluamos 47 de 48 pacientes (1, falleció antes de 3 años) resultando secos, mejorados y fallados, 31(66%), 6 (12.8%) y 10 (21%) respectivamente. ICIQ-SF cambió de 19,5 a 6 (1-21). 5 de 31 secos, debieron reajustarse una vez. Fallaron 10 pacientes: 9 Argus retirados: 6 (12,8%) por erosión, 3 (6,2%) por infección y 1 usa 3 paños diarios. Hubieron 6 erosiones: 4 uretrales, 1 vesical y 1 parietal abdominal. El dolor persistió en 2 casos. Las complicaciones menores se resolvieron espontáneamente antes de 2 meses.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El Argus® demostró ser eficaz en el control de la IPP en el largo plazo en casi el 80% de los pacientes evaluados. La infección y la erosión fueron las complicaciones más importantes y los desafíos a resolver.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To communicate long- term results of the multicentre phase III trial post-prostatectomy urinary incontinence (PPI) treated with an adjustable male sling1.</p> <span class="elsevierStyleSectionTitle">Patients and Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">48 PPI patients were included in this trial from april 2003 to september 2004. 39 post radical prostatectomy and 9 post adenomectomy. 19 wore 5 pads per day (3-8) each weight 83gr (17-198). 29 wore condom catheter or penile clamp The Argus was implanted through perineal approach. Using needles, the sling was transferred to the abdominal wall where it was adjusted by washers. The adjustment was done with retrograde urethral pressure from 45 to 55 cm water. Clinical data were updated till September 2007. The mean follow-up was 45 months (36-54) and median age was 67 years (52-77). The evaluation was: the ICIQ-SF score and qualification as Dry: no pads, Improved: 1 pad and Failed: 2 or more pads in 24 hr, including those with slings removed.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">47 were evaluated, resulting: 31 (66%) Dry, 6 (12.8%) Improved and 10 (21%) Failed. The ICIQ-SF score changed from 19.5 to 6. Of the 31 dry pts, 5 required one adjustment. 10 pts failed, 9 after sling removal, 6 due to erosion and 3 for infection. One patient failed with the sling in place, 6 erosions were registered: 4 in the urethra, 1 into the bladder and 1 through the abdominal wall. Perineal pain persisted in 2. One patient was excluded, died in September 2006.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Argus® has demonstrated its efficacy in long- term follow-up. The social continence rate was about 80%. The important complication was erosion or infection.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:15 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "An adjustable male sling for treating urinary incontinence after prostatectomy - a phase iii multi-centre trial" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:7 [ 0 => "S.V. Romano" 1 => "S.E. Metrebian" 2 => "F. Vaz" 3 => "V. Muller" 4 => "C.A. Levi D’Ancona" 5 => "E.A. Costa De Souza" 6 => "F. 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