RESEARCH ARTICLE


Treatment of Male Urinary Incontinence with An Adjustable Implantable Medical Device: Ustrap



Pierre Dubernard*, Elie Pricaz
Jean Mermoz Private Hospital Urology Department, Lyon, France


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© Dubernard & Pricaz; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution-Non-Commercial 4.0 International Public License (CC BY-NC 4.0) (https://creativecommons.org/licenses/by-nc/4.0/legalcode), which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to these authors atJean Mermoz Private Hospital Urology Department, Lyon, France; E-mail: pierre.dubernard@wanadoo.fr


Abstract

Introduction and Objectives:

Our aim is to develop a device which is simpler, less expensive, but equally or more effective than currently available devices including the artificial urinary sphincter.

Method:

Based on our knowledge of and experience with other devices we designed the Ustrap. The theoretical advantages of our approach are described as is the development to the current (3rd) version.

Results:

For version #1, implanted in 6 patients, the 5 year follow up includes 2 improved, 2 unchanged, 2 required AUS. For version #2 implanted in 4 patients, 2 year follow up shows 3 improved, 1 failure.

Conclusions:

The Ustrap has unique features which distinguish it from current devices. A proposed multicenter prospective clinical trial of version #3 is awaiting approval.

Keywords: Adjustable male sling, artificial urinary sphincter, male urinary incontinence, polypropylene coating, perisymphyseal straps, radical prostatectomy.