Adjustable continence therapy (ProACT) is an underutilized treatment option in men with stress urinary incontinence. The device is placed using a perineal percutaneous tunneled approach. We demonstrate a salvage technique for ProACT placement in a man with a devastated urethra following pelvic trauma and multiple artificial urinary sphincter (AUS) erosions who failed a tunneled approach. Our novel technique has utility in those at high risk for intra-operative trocar injury to the urinary tract with a tunneled approach. An open approach may also be a viable option in high-risk patients who have failed a conventional ProACT approach, male sling, or AUS.
Urology case reports. 2023 May 24*** epublish ***
Lily Kong, Nathaniel D Coddington, Brian J Flynn
University of Colorado Anschutz Medical Campus, 13001, E 17th Pl., Aurora, CO, 80045, USA.