Tags

Type your tag names separated by a space and hit enter

The male sling for stress urinary incontinence: 24-month followup with questionnaire based assessment.
J Urol. 2004 Jul; 172(1):207-9.JU

Abstract

PURPOSE

Stress urinary incontinence after prostate surgery can be a bothersome problem, adversely affecting quality of life. We performed a prospective study of the male perineal sling for the treatment of stress urinary incontinence with a minimum 1-year followup.

MATERIALS AND METHODS

A total of 36 patients (average age 67 years old) underwent male sling surgery. Patients underwent preoperative and postoperative evaluation for bother due to urinary incontinence using the UCLA Prostate Cancer Index urinary function section as well as pad score.

RESULTS

Median followup was 25 months (range 12 to 42). After surgery 24 (67%) patients were pad-free, 5 (14%) used 1 pad, 4 (11%) used 2 pads and 3 (8%) continued to use 3 or more pads daily. Overall, mean pad use +/- SD decreased from 4.6 +/- 2.5 to 0.64 +/- 1.0 pads daily (p <0.001). A total of 30 (83%) patients reported a small to no bother from urine leakage after surgery, 3 (8%) considered leakage a moderate problem, while 3 (8%) continued to consider it a big problem. The median UCLA Prostate Cancer Index urinary function score was improved from 33 before surgery to 330 after surgery (p <0.001). There were no instances of erosion, infection or prolonged retention.

CONCLUSIONS

Medium term results for the male sling demonstrate a success rate comparable to that of the artificial urinary sphincter (67% pad-free rate and 92% improvement). This technique has established a low morbidity and has not been associated with any significant complications. Longer followup will ultimately establish whether this technique represents a viable long-term alternative to artificial urinary sphincter for the treatment of bothersome stress urinary incontinence in men.

Authors+Show Affiliations

University of Arizona Health Sciences Center and the Southern Arizona Veterans Affairs Health Care System, Tucson, Arizona, USA.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15201775

Citation

Ullrich, Nathan F E., and Craig V. Comiter. "The Male Sling for Stress Urinary Incontinence: 24-month Followup With Questionnaire Based Assessment." The Journal of Urology, vol. 172, no. 1, 2004, pp. 207-9.
Ullrich NF, Comiter CV. The male sling for stress urinary incontinence: 24-month followup with questionnaire based assessment. J Urol. 2004;172(1):207-9.
Ullrich, N. F., & Comiter, C. V. (2004). The male sling for stress urinary incontinence: 24-month followup with questionnaire based assessment. The Journal of Urology, 172(1), 207-9.
Ullrich NF, Comiter CV. The Male Sling for Stress Urinary Incontinence: 24-month Followup With Questionnaire Based Assessment. J Urol. 2004;172(1):207-9. PubMed PMID: 15201775.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The male sling for stress urinary incontinence: 24-month followup with questionnaire based assessment. AU - Ullrich,Nathan F E, AU - Comiter,Craig V, PY - 2004/6/18/pubmed PY - 2004/8/3/medline PY - 2004/6/18/entrez SP - 207 EP - 9 JF - The Journal of urology JO - J Urol VL - 172 IS - 1 N2 - PURPOSE: Stress urinary incontinence after prostate surgery can be a bothersome problem, adversely affecting quality of life. We performed a prospective study of the male perineal sling for the treatment of stress urinary incontinence with a minimum 1-year followup. MATERIALS AND METHODS: A total of 36 patients (average age 67 years old) underwent male sling surgery. Patients underwent preoperative and postoperative evaluation for bother due to urinary incontinence using the UCLA Prostate Cancer Index urinary function section as well as pad score. RESULTS: Median followup was 25 months (range 12 to 42). After surgery 24 (67%) patients were pad-free, 5 (14%) used 1 pad, 4 (11%) used 2 pads and 3 (8%) continued to use 3 or more pads daily. Overall, mean pad use +/- SD decreased from 4.6 +/- 2.5 to 0.64 +/- 1.0 pads daily (p <0.001). A total of 30 (83%) patients reported a small to no bother from urine leakage after surgery, 3 (8%) considered leakage a moderate problem, while 3 (8%) continued to consider it a big problem. The median UCLA Prostate Cancer Index urinary function score was improved from 33 before surgery to 330 after surgery (p <0.001). There were no instances of erosion, infection or prolonged retention. CONCLUSIONS: Medium term results for the male sling demonstrate a success rate comparable to that of the artificial urinary sphincter (67% pad-free rate and 92% improvement). This technique has established a low morbidity and has not been associated with any significant complications. Longer followup will ultimately establish whether this technique represents a viable long-term alternative to artificial urinary sphincter for the treatment of bothersome stress urinary incontinence in men. SN - 0022-5347 UR - https://www.unboundmedicine.com/medline/citation/15201775/The_male_sling_for_stress_urinary_incontinence:_24_month_followup_with_questionnaire_based_assessment_ L2 - https://www.jurology.com/doi/10.1097/01.ju.0000128652.99627.14?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -