Single Institution Experience With the Transobturator Sling Suspension System AdVance® in the Treatment of Male Urinary Incontinence: Mid-Term Results

Int Braz J Urol. Jul-Aug 2011;37(4):488-94. doi: 10.1590/s1677-55382011000400008.

Abstract

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% (16/26) and improvement (1-2 pads per day) was seen in 26.9% (7/26). No improvement was observed in 11.5% (3/26) of patients. A total of 87.5% (21/24) of patients were very satisfied with the operation 22 months after surgery. Success rate in patients with prior radiation therapy (20% cure; 40% improvement) was significantly worse.

Conclusions: Placement of the AdVance® sling represents an effective and safe treatment option for patients with post prostate surgery incontinence. Patients that underwent radiotherapy after prostate surgery had lower success rate.

Publication types

  • Evaluation Study

MeSH terms

  • Aged
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Patient Satisfaction
  • Postoperative Complications
  • Prostate / surgery*
  • Prostatectomy / adverse effects*
  • Retrospective Studies
  • Statistics, Nonparametric
  • Suburethral Slings*
  • Treatment Outcome
  • Urinary Incontinence, Stress / surgery*