To map the learning curve of a single surgeon performing ProACT and assess post-surgery outcomes, including incontinence and complications, over five years.
Key Findings:
Surgical success rate of ProACT was 53%, defined as the use of 0–1 pad per day, with a complication rate of 31%.
Patients reported significant improvement in incontinence post-surgery.
The learning curve showed reduced complications and revisions with increased surgeon experience.
Interpretation:
ProACT is a viable alternative to AUS for managing PPI, demonstrating a favorable safety profile and effectiveness, particularly as surgeon experience increases.
Limitations:
Single-center study may limit generalizability.
Retrospective design may introduce bias in data collection, affecting the reliability of outcomes.
Conclusion:
ProACT demonstrates promising outcomes for PPI management, highlighting the importance of surgical experience in reducing complications.
