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Urodynamic changes and initial results of the AdVance male sling.
Urology. 2009 Aug; 74(2):354-7.U

Abstract

OBJECTIVES

To present the urodynamic changes and early results associated with the AdVance male sling. The AdVance male sling is a treatment option for postprostatectomy incontinence (PPI), with the goal of eliminating urinary incontinence without affecting voiding parameters. A concern of any procedure in treating men with PPI is whether the treatment induces obstruction and causes retention.

METHODS

Data were prospectively collected from 13 patients undergoing AdVance male sling placement for PPI. Urodynamic testing was performed at baseline and repeated at 6 months postoperatively. A 24-hour pad test and the Incontinence Quality of Life questionnaire were completed preoperatively and at 3 and 6 months postoperatively.

RESULTS

The median age at the procedure was 63.3 years (range 44.7-74.7). The mean preoperative and 6-month postoperative patient-reported pad use was 4.52 and 1.04, respectively (2-tailed t test, P = .0009). The 24-hour pad test, performed preoperatively and at 6 months postoperatively, yielded a pad weight of 779.3 and 67.6 g, respectively (P = .03). The Valsalva leak point pressure improved significantly (P = .032), but the detrusor voiding pressure, postvoid residual urine volume, and maximal and average flow rates remained relatively unchanged. At 3 and 6 months postoperatively, the Incontinence Quality of Life scores had improved significantly compared with the preoperative scores (P <.01).

CONCLUSIONS

These results are encouraging, because this series has demonstrated a significant improvement in patient-reported pad use, 24-hour pad test weights, and Valsalva leak point pressure without signs of obstruction. The improvement in incontinence was accompanied without any changes in the other voiding parameters and with significant improvement in the quality-of-life measures. Ongoing studies with longer follow-up are pending to compare their results with these promising early results.

Authors+Show Affiliations

Eastern Virginia Medical School, Norfolk, 23510, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19428078

Citation

Davies, Timothy O., et al. "Urodynamic Changes and Initial Results of the AdVance Male Sling." Urology, vol. 74, no. 2, 2009, pp. 354-7.
Davies TO, Bepple JL, McCammon KA. Urodynamic changes and initial results of the AdVance male sling. Urology. 2009;74(2):354-7.
Davies, T. O., Bepple, J. L., & McCammon, K. A. (2009). Urodynamic changes and initial results of the AdVance male sling. Urology, 74(2), 354-7. https://doi.org/10.1016/j.urology.2008.12.082
Davies TO, Bepple JL, McCammon KA. Urodynamic Changes and Initial Results of the AdVance Male Sling. Urology. 2009;74(2):354-7. PubMed PMID: 19428078.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Urodynamic changes and initial results of the AdVance male sling. AU - Davies,Timothy O, AU - Bepple,Jennifer L, AU - McCammon,Kurt A, Y1 - 2009/05/09/ PY - 2008/08/27/received PY - 2008/12/16/revised PY - 2008/12/29/accepted PY - 2009/5/12/entrez PY - 2009/5/12/pubmed PY - 2009/8/19/medline SP - 354 EP - 7 JF - Urology JO - Urology VL - 74 IS - 2 N2 - OBJECTIVES: To present the urodynamic changes and early results associated with the AdVance male sling. The AdVance male sling is a treatment option for postprostatectomy incontinence (PPI), with the goal of eliminating urinary incontinence without affecting voiding parameters. A concern of any procedure in treating men with PPI is whether the treatment induces obstruction and causes retention. METHODS: Data were prospectively collected from 13 patients undergoing AdVance male sling placement for PPI. Urodynamic testing was performed at baseline and repeated at 6 months postoperatively. A 24-hour pad test and the Incontinence Quality of Life questionnaire were completed preoperatively and at 3 and 6 months postoperatively. RESULTS: The median age at the procedure was 63.3 years (range 44.7-74.7). The mean preoperative and 6-month postoperative patient-reported pad use was 4.52 and 1.04, respectively (2-tailed t test, P = .0009). The 24-hour pad test, performed preoperatively and at 6 months postoperatively, yielded a pad weight of 779.3 and 67.6 g, respectively (P = .03). The Valsalva leak point pressure improved significantly (P = .032), but the detrusor voiding pressure, postvoid residual urine volume, and maximal and average flow rates remained relatively unchanged. At 3 and 6 months postoperatively, the Incontinence Quality of Life scores had improved significantly compared with the preoperative scores (P <.01). CONCLUSIONS: These results are encouraging, because this series has demonstrated a significant improvement in patient-reported pad use, 24-hour pad test weights, and Valsalva leak point pressure without signs of obstruction. The improvement in incontinence was accompanied without any changes in the other voiding parameters and with significant improvement in the quality-of-life measures. Ongoing studies with longer follow-up are pending to compare their results with these promising early results. SN - 1527-9995 UR - https://www.unboundmedicine.com/medline/citation/19428078/Urodynamic_changes_and_initial_results_of_the_AdVance_male_sling_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0090-4295(09)00275-1 DB - PRIME DP - Unbound Medicine ER -