Experience of male transobturator AdVance sling implantation in patients with stress urinary incontinence after radical prostatectomy


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Abstract

For the period from April 2008 to March 2012, 12 men with mild-to-moderate and severe stress urinary incontinence underwent transobturator AdVance sling implantation. In the preoperative period, all patients underwent assessment, including history taking, physical, and instrumental and laboratory examination. Daily pad test was used as an objective method for the assessment of the degree of urinary incontinence. The use no more than one pad a day was considered as recovery, no more than 2 pads or reduction of the loss of urine by more than 50% - as an improvement. Median follow-up period was 28 months. The success of the operation was achieved in 91,7% of cases. Implantation of the sling led to the significant decrease of urine loss, the number of used pads and improvement of quality of life of patients. Infectious and inflammatory complications of acute urinary retention were not observed. Implantation of male transobturator AdVance sling is effective and safe treatment for patients with stress urinary incontinence after radical prostatectomy.

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References

  1. Heidenreich A., Bellmunt J., Bolla M.et al. EAU Guidelines on Prostate Cancer, 2012.
  2. Bauer R.M., Gozzi C., Hubner W. et al. Contemporary management of post prostatectomy incontinence. Eur. Urol. 2011; 59:985-996.
  3. Flynn B, Webster G. Evaluation and Surgical Management of Intrinsic Sphincter Deficiency after Radical Prostatectomy. Rev Urol. 2004;6(4): 180-186.
  4. Herschorn S., Bruschini H., Comiter C. et al. Surgical treatment of stress incontinence in men. Neurourol. Urodyn. 2010;29:179-190.
  5. Rehder P., Gozzi C. Transobturator sling suspension for male urinary incontinence induding post-radical prostatectomy. Eur. Urol. 2007;52:860-866.
  6. Davies T.O., Bepple J.L., McCammon K.A. Urodynamic changes and initial results of the AdVance male sling. Urology. 2009;74:354-357.
  7. Cornu J.N., Sebe P., Ciofu C. et al. The AdVance transobturator male sling for postprostatectomy incontinence: clinical results of a prospective evaluation after a minimum follow-up of 6 months. Eur. Urol. 2009;56:923-927.
  8. Bauer R.M., Mayer M.E., Graczke C. et al. Prospective evaluation of the functional sling suspension for male postprostatectomy stress urinary incontinence: results after 1 year. Eur. Urol. 2009; 56:928-933.
  9. Rehder P., Freiin von Gleisscnthall G. et al. The treatment of postprostatectomy incontinence with the reurotuminal transobturator repositioning sling (AdVance(R)): lessons learnt from accumulative experience. Arch. Esp. Urol. 2009;62:860-870.
  10. Lucas M., Bosch R., Burkhard F. et al. EAU Guidelines on Surgical Treatment of Urinary Incontinence, 2012.
  11. De Ridder D., Rehder P. The AdVance male sling: anatomic features in relation to mode of action. Eur. Urol. 2011;10(Suppl.):383-389.
  12. Milsom I., Altman D., Lapitan M.C. et al. Epidemiology of urinary (UI) and faecal (FI) incontinence and pelvic organ prolapse (POP). In: Abrams P., Cardozo L., Khoury S., Wein A., editors. Incontinence: 4th International Consultation on Incontinence. ed. 4. Plymouth, UK: Health Publication; 2009. C. 37-111.
  13. Soljanik I., Becker A.J., Stief C.G. et al. Urodynamic parameters after retrourethral transobturator male sling and their influence on outcome. Urology 2011;78:708-712.
  14. Rehder P., Haab F., Cornu J.N. et al. Treatment of postprostatectomy male urinary incontinence with the transobturator retroluminal repositioning sling suspension: 3-year follow-up. Eur. Urol. 2012;62:140-145.
  15. Christine B., Knoll D. Treatment of male stress urinary incontinence with the AdVance transobturator sling: long term follow-up reveals high patient satisfaction. J. Urol. 2011; 185(4S):e468-e469.
  16. Bauer R.M. et al. Results of the AdVance Transobturator Male Sling After Radical Prostatectomy and Adjuvant Radiotherapy. Urology. 2011;77:474-480.
  17. Fischer M.C., Huckabay С., Nicti V.W. The male perineal sling: assessment, and prediction of outcome. J. Urol. 2007 ;177:1414-1418.
  18. Comiter C. V. The male perineal sling: intermediate-term results. Neurourol. Urodyn. 2005;24:648-653.
  19. Castle E.P., Andrews P.E., Iatano N. et al. The male sling for postprostatectomy incontinence: mean follow up 18 months. J. Urol. 2005;175:1657-1660.
  20. Cornu J.N., Sebe P., Ciofu C. et al. Mid-term evaluation of the transobturator male sling for post-prostatectomy incontinence: focus on prognostic factors. BJU Int 2010;108:236-240.
  21. Bauer R.M. et al. Complications of the AdVance Transobturator Male Sling in the Treatment of Male Stress Urinary Incontinence. Urology. 2010;75:1494-1498.
  22. Rehder P., Mitterberger M.J., Pichler R. et al. The 1 year outcome of the transobturator retroluminal repositioning sling in the treatment of male stress urinary incontinence. BJU Int. 2010;106:1668-1672.
  23. Kim S.P., Sarmast Z., Daignault S. et al. Long-term durability and functional outcomes among patients with artificial urinary sphincters: a 10-year retrospective review from the University of Michigan. J. Urol. 2008;179:1912-1916.
  24. Hussain M., Greenwell T.J., Venn S.N. et al. The current role of the artificial urinary sphincter for the treatment of urinary incontinence. J. Urol. 2005;174:418-424.

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