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Complications of the AdVance transobturator male sling in the treatment of male stress urinary incontinence.
Urology. 2010 Jun; 75(6):1494-8.U

Abstract

OBJECTIVE

To evaluate prospectively the complication rate of the retrourethral transobturator sling (AdVance sling) for the functional treatment of male stress urinary incontinence (SUI).

METHODS

In 230 patients with SUI due to nonintrinsic sphincter deficiency (without direct sphincter lesion) after radical prostatectomy (n=213), radical cystoprostatectomy with ileal neobladder (n=2) and transurethral resection of the prostate (n=15) a retrourethral transobturator sling was implanted. Patients were followed up for a median of 17 months (range, 4-42 months) with regard to intraoperative, early postoperative, and midterm postoperative complications.

RESULTS

Overall complication rate of the AdVance sling was 23.9%. Despite one accidental sling misplacement, no intraoperative complication occurred. Forty-nine patients (21.3%) experienced urinary retention postsurgery. Two slings were explanted (0.9%), 1 due to initial wrong placement and the other due to a symphysitis, attributed to a Guillain-Barré syndrome and not to a sling infection. One sling was transected (0.4%) due to slippage of the sling with obstruction of the urethra. Further complications were local wound infection (0.4%), urinary infection with fever (0.4%), and persistent moderate perineal pain (0.4%). There was no correlation between postoperative acute urinary retention and age at sling implantation, time of incontinence before sling implantation, preoperative daily pad use, or prior invasive incontinence treatment, respectively.

CONCLUSIONS

The retrourethral transobturator AdVance sling is a safe treatment option for male nonintrinsic sphincter deficiency SUI, with the main postoperative complication being transient acute urinary retention. Severe intra- and postoperative complications are rare and sling explantation rate is very low.

Authors+Show Affiliations

Department of Urology, Ludwig-Maximilian University, Munich, Germany. Ricarda.Bauer@med.uni-muenchen.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20156654

Citation

Bauer, Ricarda M., et al. "Complications of the AdVance Transobturator Male Sling in the Treatment of Male Stress Urinary Incontinence." Urology, vol. 75, no. 6, 2010, pp. 1494-8.
Bauer RM, Mayer ME, May F, et al. Complications of the AdVance transobturator male sling in the treatment of male stress urinary incontinence. Urology. 2010;75(6):1494-8.
Bauer, R. M., Mayer, M. E., May, F., Gratzke, C., Buchner, A., Soljanik, I., Bastian, P. J., Stief, C. G., & Gozzi, C. (2010). Complications of the AdVance transobturator male sling in the treatment of male stress urinary incontinence. Urology, 75(6), 1494-8. https://doi.org/10.1016/j.urology.2009.12.012
Bauer RM, et al. Complications of the AdVance Transobturator Male Sling in the Treatment of Male Stress Urinary Incontinence. Urology. 2010;75(6):1494-8. PubMed PMID: 20156654.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Complications of the AdVance transobturator male sling in the treatment of male stress urinary incontinence. AU - Bauer,Ricarda M, AU - Mayer,Margit E, AU - May,Florian, AU - Gratzke,Christian, AU - Buchner,Alexander, AU - Soljanik,Irina, AU - Bastian,Patrick J, AU - Stief,Christian G, AU - Gozzi,Christian, Y1 - 2010/02/13/ PY - 2009/10/15/received PY - 2009/11/29/revised PY - 2009/12/08/accepted PY - 2010/2/17/entrez PY - 2010/2/17/pubmed PY - 2010/6/26/medline SP - 1494 EP - 8 JF - Urology JO - Urology VL - 75 IS - 6 N2 - OBJECTIVE: To evaluate prospectively the complication rate of the retrourethral transobturator sling (AdVance sling) for the functional treatment of male stress urinary incontinence (SUI). METHODS: In 230 patients with SUI due to nonintrinsic sphincter deficiency (without direct sphincter lesion) after radical prostatectomy (n=213), radical cystoprostatectomy with ileal neobladder (n=2) and transurethral resection of the prostate (n=15) a retrourethral transobturator sling was implanted. Patients were followed up for a median of 17 months (range, 4-42 months) with regard to intraoperative, early postoperative, and midterm postoperative complications. RESULTS: Overall complication rate of the AdVance sling was 23.9%. Despite one accidental sling misplacement, no intraoperative complication occurred. Forty-nine patients (21.3%) experienced urinary retention postsurgery. Two slings were explanted (0.9%), 1 due to initial wrong placement and the other due to a symphysitis, attributed to a Guillain-Barré syndrome and not to a sling infection. One sling was transected (0.4%) due to slippage of the sling with obstruction of the urethra. Further complications were local wound infection (0.4%), urinary infection with fever (0.4%), and persistent moderate perineal pain (0.4%). There was no correlation between postoperative acute urinary retention and age at sling implantation, time of incontinence before sling implantation, preoperative daily pad use, or prior invasive incontinence treatment, respectively. CONCLUSIONS: The retrourethral transobturator AdVance sling is a safe treatment option for male nonintrinsic sphincter deficiency SUI, with the main postoperative complication being transient acute urinary retention. Severe intra- and postoperative complications are rare and sling explantation rate is very low. SN - 1527-9995 UR - https://www.unboundmedicine.com/medline/citation/20156654/Complications_of_the_AdVance_transobturator_male_sling_in_the_treatment_of_male_stress_urinary_incontinence_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0090-4295(09)03072-6 DB - PRIME DP - Unbound Medicine ER -