Transobturator sling for post-prostatectomy incontinence: radiation's effect on efficacy/satisfaction. (Record no. 2773)

MARC details
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fixed length control field 02953nam a22003737a 4500
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fixed length control field 171017s20172017 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 1195-9479
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 28971786
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Title Transobturator sling for post-prostatectomy incontinence: radiation's effect on efficacy/satisfaction.
251 ## - Source
Source Canadian Journal of Urology. 24(5):8998-9002, 2017 Oct
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Abbreviated source Can J Urol. 24(5):8998-9002, 2017 Oct
253 ## - Journal Name
Journal name The Canadian journal of urology
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Year 2017
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Manufacturer FY2018
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Date added to catalog 2017-10-17
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Abstract CONCLUSIONS: The majority of patients undergoing the AdVance sling procedure for post-prostatectomy urinary incontinence saw a significant reduction in pad use, and were overall satisfied in both radiated and non-radiated groups at short and long term follow up. However, improvements were greater in the non-radiated groups and diminished with time.
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Abstract INTRODUCTION: We review our experience with the AdVance sling in patients with post- prostatectomy incontinence, comparing the role that adjuvant radiation therapy plays in sling success and patient satisfaction at short and long term follow ups.
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Abstract MATERIALS AND METHODS: Men who underwent AdVance sling placement for post-prostatectomy incontinence from 2007 to present were identified using Current Procedural Terminology (CPT) codes. Manual chart review was performed. Level of incontinence was assessed using Expanded Prostate Cancer Index Composite (EPIC) and pads per day (PPD) use. Satisfaction was assessed by willingness to recommend the procedure to a friend. Outcomes in men who received radiation were compared to radiation-naive men.
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Abstract RESULTS: Fifty-two men underwent AdVance sling placement. Eighteen men received adjuvant radiation. Thirty-six men were available for short term (19.4 months) and 16 men for long term (61.5 months) follow up. Overall, significant improvement was seen in post-sling EPIC score (24.6, p < 0.001), EPIC incontinence score (39.1, p < .001), and pad use (3.2 PPD to 1.4 PPD, p < .001). Greater improvement in EPIC scores and PPD use was seen in radiation-free men. Irradiated men were less satisfied with the procedure at both short and long term follow up. Diminished efficacy and satisfaction occurred at extended follow up for both groups but was more pronounced with radiation.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
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Department Literature and Medicine
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Department Obstetrics and Gynecology/Urogynecology
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Department Urology
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Medline publication type Journal Article
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Local Authors Hwang, Jonathan J
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Local Authors Marchalik, Daniel
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Local Authors Richter, Lee
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Local Authors Venkatesan, Krishnan
790 ## - Authors
All authors Bandi G, Hwang JJ, Koch GE, Kowalczyk K, Marchalik D, McGeagh K, Pysher A, Richter LA, Venkatesan K, Wright HC
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 10/17/2017   28971786 28971786 10/17/2017 10/17/2017 Journal Article

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