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The male perineal sling: assessment and prediction of outcome.
J Urol. 2007 Apr; 177(4):1414-8.JU

Abstract

PURPOSE

The male perineal sling has become an option for treating male stress incontinence. We evaluated its overall efficacy and determined preoperative parameters that could predict success.

MATERIALS AND METHODS

A total of 62 men with stress incontinence were prospectively evaluated and underwent a male perineal sling. Preoperatively 24-hour pad weight, urodynamics and a number of validated incontinence questionnaires were completed. At a minimum of 3 months of followup 24-hour pad weight and questionnaires were repeated. Success was assessed using the 1 question Patient Global Impression of Improvement. The Patient Global Impression of Improvement was compared to a number of other subjective and objective measures of outcome. Finally, preoperative parameters were evaluated to determine predictors of outcome.

RESULTS

As determined by the Patient Global Impression of Improvement, the success rate was 58%. The only preoperative factor predictive of success was 24-hour pad weight. An individual had a 71% chance of successful surgery if preoperative pad weight was less than 423 gm. There was a statistically significant difference between successes and failures in terms of postoperative pad weight and certain questionnaires, including the UCLA/RAND Prostate Cancer Index urinary function score, International Consultation on Incontinence short form, Incontinence Impact Questionnaire, Urogenital Distress Index and International Prostate Symptom Score. The overall complication rate was 21% and the reoperation rate was 14.5%.

CONCLUSIONS

The male perineal sling can be an effective surgical treatment for stress incontinence in the appropriate patient. The procedure is most successful in patients with lesser objective degrees of incontinence. The Patient Global Impression of Improvement is an effective tool for assessing outcome for this population.

Authors+Show Affiliations

Department of Urology, New York University School of Medicine, New York, New York 10016, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article

Language

eng

PubMed ID

17382743

Citation

Fischer, Melissa C., et al. "The Male Perineal Sling: Assessment and Prediction of Outcome." The Journal of Urology, vol. 177, no. 4, 2007, pp. 1414-8.
Fischer MC, Huckabay C, Nitti VW. The male perineal sling: assessment and prediction of outcome. J Urol. 2007;177(4):1414-8.
Fischer, M. C., Huckabay, C., & Nitti, V. W. (2007). The male perineal sling: assessment and prediction of outcome. The Journal of Urology, 177(4), 1414-8.
Fischer MC, Huckabay C, Nitti VW. The Male Perineal Sling: Assessment and Prediction of Outcome. J Urol. 2007;177(4):1414-8. PubMed PMID: 17382743.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The male perineal sling: assessment and prediction of outcome. AU - Fischer,Melissa C, AU - Huckabay,Chad, AU - Nitti,Victor W, PY - 2006/08/17/received PY - 2007/3/27/pubmed PY - 2007/5/1/medline PY - 2007/3/27/entrez SP - 1414 EP - 8 JF - The Journal of urology JO - J Urol VL - 177 IS - 4 N2 - PURPOSE: The male perineal sling has become an option for treating male stress incontinence. We evaluated its overall efficacy and determined preoperative parameters that could predict success. MATERIALS AND METHODS: A total of 62 men with stress incontinence were prospectively evaluated and underwent a male perineal sling. Preoperatively 24-hour pad weight, urodynamics and a number of validated incontinence questionnaires were completed. At a minimum of 3 months of followup 24-hour pad weight and questionnaires were repeated. Success was assessed using the 1 question Patient Global Impression of Improvement. The Patient Global Impression of Improvement was compared to a number of other subjective and objective measures of outcome. Finally, preoperative parameters were evaluated to determine predictors of outcome. RESULTS: As determined by the Patient Global Impression of Improvement, the success rate was 58%. The only preoperative factor predictive of success was 24-hour pad weight. An individual had a 71% chance of successful surgery if preoperative pad weight was less than 423 gm. There was a statistically significant difference between successes and failures in terms of postoperative pad weight and certain questionnaires, including the UCLA/RAND Prostate Cancer Index urinary function score, International Consultation on Incontinence short form, Incontinence Impact Questionnaire, Urogenital Distress Index and International Prostate Symptom Score. The overall complication rate was 21% and the reoperation rate was 14.5%. CONCLUSIONS: The male perineal sling can be an effective surgical treatment for stress incontinence in the appropriate patient. The procedure is most successful in patients with lesser objective degrees of incontinence. The Patient Global Impression of Improvement is an effective tool for assessing outcome for this population. SN - 0022-5347 UR - https://www.unboundmedicine.com/medline/citation/17382743/The_male_perineal_sling:_assessment_and_prediction_of_outcome_ L2 - https://www.jurology.com/doi/10.1016/j.juro.2006.11.061?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -