Experience of 5 years adjustable continence therapy (ProACT): the surgical learning curve and patient outcomes
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By
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March 22, 2026
Objective:
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.
