Pacey Cuff: Clinical Followup
Cystoscopy Study-11 Months
Index Patient
Clinical Summary
The Pacey cuff has been used in a post Radiation therapy patient who had Palladium Brachytherapy carried out by Dr Gregory Merrick of Schiffler Hospital in Wheeling , West Virginia in 2001. Then 50 Gray External Beam Radiotherapy was delivered at CCABC using a Linac linear Accelerator to complete the treatment. The bladder outlet developed calcification and complete obstruction in 2008 when Surgical relief resulted in incontinence.
Treatment with an AMS 800 device was effective for 2 years and was replaced once. Then the device was removed. The radiation induced vascular changes to the base of the bladder resulted in atrophic changes at the level of the upper urethra.
Pacey Cuff treatment started in early december 2016 and has continued throughout the development period of the device. 24/7 use was practiced throughout the majority of days (275/310 days) . Initial Cystoscopy demonstrated excellent healing of former surgical approaches to the urethra. The Cystoscopy followup q3months was completed Nov 20 2017 and shows no impact on the Urethra from this intense usage. The plan to follow this sentinel case will include Cystoscopic examination to be certain that any urethritis will be seen and managed. The current Pacey Cuff has had design changes that make it tissue friendly and the excellent record is likely to continue as more follow up is recorded.
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Pacey Cuff treatment started in early december 2016 and has continued throughout the development period of the device. 24/7 use was practiced throughout the majority of days (275/310 days) . Initial Cystoscopy demonstrated excellent healing of former surgical approaches to the urethra. The Cystoscopy followup q3months was completed Nov 20 2017 and shows no impact on the Urethra from this intense usage. The plan to follow this sentinel case will include Cystoscopic examination to be certain that any urethritis will be seen and managed. The current Pacey Cuff has had design changes that make it tissue friendly and the excellent record is likely to continue as more follow up is recorded.
Example of Cystoscopic examination using a flexible fiberoptic Cystoscope. Continence management often requires Cystoscopy.
Post Prostatectomy care and Post Radiotherapy care is greatly enhanced by use of this device.
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