The Retrourethral Transobturator Sling Suspension in the Treatment of Male Urinary Stress Incontinence: Results of a Single Institution Experience
نویسندگان
چکیده
Objective. To evaluate functional outcome of the retrourethral transobturator sling suspension (RTS) in the treatment of stress urinary incontinence (SUI) caused by prior prostate surgery. Methods. The RTS (AdVance male sling) was implanted in 32 patients who suffered from mild to severe postsurgical-treatment incontinence at the University Hospital Ulm from September 2010 to September 2011 including 10 patients with prior radiation therapy. Functional data (uroflowmetry, daily pad use, and postvoid residual urine) as well as quality of life with impact of urinary problems (ICIQ-UI SF) were prospectively assessed at baseline and during followup. Results. After a median followup of 9 months (range, 3-14) the incontinence cure rate (no pad usage) was 56.2% and the improvement rate (1-2 pads/day or ≥50% reduction) was 21.9%. No improvement was observed in 21.9%. Daily pad use and ICIQ-UI SF score improved significantly. No major perioperative complications occurred. Postoperatively, 15.6% of the patients exhibited transient acute urinary retention which resolved without further treatment after a maximum of 3 weeks. One patient underwent sling explantation due to dislocation and persistent perineal pain. Conclusions. The implantation of the RTS is a safe and effective procedure in selected patients with SUI resulting from prostate surgery.
منابع مشابه
Prospective evaluation of the functional sling suspension for male postprostatectomy stress urinary incontinence: results after 1 year.
BACKGROUND Although surgical techniques for radical prostatectomy (RP) have been refined significantly, a significant number of patients still suffer from persisting postprostatectomy stress urinary incontinence (SUI). In recent years, various minimally invasive sling systems have been investigated as treatment options for such incontinence. OBJECTIVE The aim of the study was the prospective ...
متن کاملRe: repeat retrourethral transobturator sling in the management of recurrent postprostatectomy stress urinary incontinence after failed first male sling.
BACKGROUND A failure rate between 20% and 45.5% after retrourethral transobturator sling (RTS) is reported. Recommendations for the management of persistent or recurrent postprostatectomy stress urinary incontinence (SUI) after failed male sling do not exist. OBJECTIVE The aim of this study was the prospective evaluation of the efficacy of repeat RTS (RRTS) in patients after failed first RTS....
متن کاملMale Stress Urinary Incontinence: A Review of Surgical Treatment Options and Outcomes
Introduction and Objective. Iatrogenic male stress urinary incontinence (SUI) affects a percentage of men undergoing urologic procedures with a significant impact on quality of life. The treatment of male SUI has evolved significantly with multiple current options for treatment available. The current paper discusses preoperative evaluation of male SUI, available surgical options with reported o...
متن کاملSingle institution experience with the transobturator sling suspension system AdVance® in the treatment of male urinary incontinence: mid-term results.
PURPOSE To evaluate the clinical outcome after placement of AdVance® sling in men with stress urinary incontinence after prostate surgery. MATERIALS AND METHODS Incontinence was assessed on basis of number of pad usage. Patients' satisfaction was evaluated using a non-validated patient questionnaire at 12 months post-operatively. RESULTS Incontinence cure rate (no pad usage) was 61.5% (16/2...
متن کاملEarly results of transobturator sling suspension for male urinary incontinence following radical prostatectomy.
Aside from erectile dysfunction, urinary incontinence continues to present a major adverse event following radical prostatectomy. Large surgical series present incontinence rates of up to 20%. The increased understanding of pelvic anatomy has lead to a decrease in the incontinence rate, whereas the true rate may even be higher. In recent years, novel treatment options have been introduced [1–5]...
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عنوان ژورنال:
دوره 2012 شماره
صفحات -
تاریخ انتشار 2012