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The male perineal sling: intermediate-term results.
Neurourol Urodyn. 2005; 24(7):648-53.NU

Abstract

AIMS

In men with stress urinary incontinence (SUI) due to sphincteric incompetence, surgical options include periurethral injection of bulking agents, implantation of an artificial urinary sphincter (AUS), and sling surgery. Short-term results of the male sling have generally been favorable. We report the intermediate-term results of the bone-anchored male perineal sling with a median of 4 years and minimum of 2 years follow-up.

METHODS

From March 2000 to April 2003, 48 patients (average age = 68 years) underwent male sling surgery. Patients were evaluated pre-operatively and post-operatively via history, physical examination, pad score, and administration of the incontinence section of the UCLA/RAND prostate cancer index (PCI).

RESULTS

Pre-operatively all patients rated their incontinence as severe, and used >or=3 pads daily. Median follow-up was 48 months (range = 24-60). Average pad usage decreased from 4.6 +/- 2.1 pads per day to 1.0 +/- 1.7 pads per day (P < 0.01). Median UCLA PCI incontinence score increased from 63-343 (P < 0.01). Overall, 31/48 patient (65%) were cured of their leakage (no problem, no pads), 7/48 (15%) were much improved (small problem, 1 pad), 3/48 (6%) were mildly improved (moderate problem, 2 pads daily), and 7/48 (15%) failed (big problem, >or=3 pads).

CONCLUSIONS

Intermediate-term results for the male sling demonstrate a success rate comparable to that of the AUS (80% <or= 1 pad daily). This technique has established a very low morbidity, and is a reliable alternative to AUS surgery for the treatment of male SUI.

Authors+Show Affiliations

Section of Urology, Department of Surgery, University of Arizona, Arizona 85724, USA. ccomiter@u.arizona.edu

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16167352

Citation

Comiter, Craig V.. "The Male Perineal Sling: Intermediate-term Results." Neurourology and Urodynamics, vol. 24, no. 7, 2005, pp. 648-53.
Comiter CV. The male perineal sling: intermediate-term results. Neurourol Urodyn. 2005;24(7):648-53.
Comiter, C. V. (2005). The male perineal sling: intermediate-term results. Neurourology and Urodynamics, 24(7), 648-53.
Comiter CV. The Male Perineal Sling: Intermediate-term Results. Neurourol Urodyn. 2005;24(7):648-53. PubMed PMID: 16167352.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The male perineal sling: intermediate-term results. A1 - Comiter,Craig V, PY - 2005/9/17/pubmed PY - 2005/12/31/medline PY - 2005/9/17/entrez SP - 648 EP - 53 JF - Neurourology and urodynamics JO - Neurourol Urodyn VL - 24 IS - 7 N2 - AIMS: In men with stress urinary incontinence (SUI) due to sphincteric incompetence, surgical options include periurethral injection of bulking agents, implantation of an artificial urinary sphincter (AUS), and sling surgery. Short-term results of the male sling have generally been favorable. We report the intermediate-term results of the bone-anchored male perineal sling with a median of 4 years and minimum of 2 years follow-up. METHODS: From March 2000 to April 2003, 48 patients (average age = 68 years) underwent male sling surgery. Patients were evaluated pre-operatively and post-operatively via history, physical examination, pad score, and administration of the incontinence section of the UCLA/RAND prostate cancer index (PCI). RESULTS: Pre-operatively all patients rated their incontinence as severe, and used >or=3 pads daily. Median follow-up was 48 months (range = 24-60). Average pad usage decreased from 4.6 +/- 2.1 pads per day to 1.0 +/- 1.7 pads per day (P < 0.01). Median UCLA PCI incontinence score increased from 63-343 (P < 0.01). Overall, 31/48 patient (65%) were cured of their leakage (no problem, no pads), 7/48 (15%) were much improved (small problem, 1 pad), 3/48 (6%) were mildly improved (moderate problem, 2 pads daily), and 7/48 (15%) failed (big problem, >or=3 pads). CONCLUSIONS: Intermediate-term results for the male sling demonstrate a success rate comparable to that of the AUS (80% <or= 1 pad daily). This technique has established a very low morbidity, and is a reliable alternative to AUS surgery for the treatment of male SUI. SN - 0733-2467 UR - https://www.unboundmedicine.com/medline/citation/16167352/The_male_perineal_sling:_intermediate_term_results_ L2 - https://doi.org/10.1002/nau.20166 DB - PRIME DP - Unbound Medicine ER -