Single institution experience with the transobturator sling suspension system AdVance® in the treatment of male urinary incontinence: Mid-term results - Abstract

Department of Urology, Academic Teaching Hospital Feldkirch, Austria.

 

To evaluate the clinical outcome after placement of AdVance® sling in men with stress urinary incontinence after prostate surgery.

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.

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.

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.

Written by:
Berger AP, Strasak A, Seitz C, Rein P, Hobisch A.   Are you the author?

Reference: Int Braz J Urol. 2011 Jul-Aug;37(4):488-94.

PubMed Abstract
PMID: 21888701

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