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Can advance transobturator sling suspension cure male urinary postoperative stress incontinence?
J Urol. 2010 Apr; 183(4):1459-63.JU

Abstract

PURPOSE

In a prospective 2-center study we confirmed and extended published results of the positive effect on post-prostatectomy stress incontinence of transobturator sling suspension using an Advance male sling.

MATERIALS AND METHODS

From September 2007 to June 2008 a male sling was placed and evaluated in 36 men according to the Rehder and Gozzi method. Diagnosis was based on 24-hour urine loss measured by a pad test, a 24-hour micturition frequency volume chart and cystoscopy. A visual analog scale for continence and bother, and a pad test were used preoperatively and postoperatively to objectively evaluate operative results.

RESULTS

At 1-year followup cure was achieved in 9.0% of patients and improvement was achieved in 45.5%. No effect on incontinence was seen in 36.5% of patients and 9.0% experienced worsening incontinence by pad test. The mean +/- SD visual analogue scale score of 6.1 +/- 2.2 (range 0 to 10) preoperatively improved significantly to 4.6 +/- 3.0 at 3 months (p = 0.024) and not significantly to 4.9 +/- 3.1 by 1 year postoperatively (p = 0.39). Improved incontinence did not correlate with patient age or incontinence severity. Complications developed in 2 patients, including sling infection and postoperative urinary retention in 1 each.

CONCLUSIONS

The transobturator sling suspension operation is a minimally invasive, safe procedure for male postoperative stress incontinence. Significantly improved continence was not observed on pad test but significant improvement in continence and bother was seen on the visual analog scale at 3 months.

Authors+Show Affiliations

Department of Urology, Ziekenhuis Groep Twente Hengelo, Hengelo, The Netherlands. erikcornel@home.nlNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

20172561

Citation

Cornel, Erik B., et al. "Can Advance Transobturator Sling Suspension Cure Male Urinary Postoperative Stress Incontinence?" The Journal of Urology, vol. 183, no. 4, 2010, pp. 1459-63.
Cornel EB, Elzevier HW, Putter H. Can advance transobturator sling suspension cure male urinary postoperative stress incontinence? J Urol. 2010;183(4):1459-63.
Cornel, E. B., Elzevier, H. W., & Putter, H. (2010). Can advance transobturator sling suspension cure male urinary postoperative stress incontinence? The Journal of Urology, 183(4), 1459-63. https://doi.org/10.1016/j.juro.2009.12.013
Cornel EB, Elzevier HW, Putter H. Can Advance Transobturator Sling Suspension Cure Male Urinary Postoperative Stress Incontinence. J Urol. 2010;183(4):1459-63. PubMed PMID: 20172561.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Can advance transobturator sling suspension cure male urinary postoperative stress incontinence? AU - Cornel,Erik B, AU - Elzevier,Henk W, AU - Putter,Hein, Y1 - 2010/02/20/ PY - 2009/07/04/received PY - 2010/2/23/entrez PY - 2010/2/23/pubmed PY - 2010/4/30/medline SP - 1459 EP - 63 JF - The Journal of urology JO - J Urol VL - 183 IS - 4 N2 - PURPOSE: In a prospective 2-center study we confirmed and extended published results of the positive effect on post-prostatectomy stress incontinence of transobturator sling suspension using an Advance male sling. MATERIALS AND METHODS: From September 2007 to June 2008 a male sling was placed and evaluated in 36 men according to the Rehder and Gozzi method. Diagnosis was based on 24-hour urine loss measured by a pad test, a 24-hour micturition frequency volume chart and cystoscopy. A visual analog scale for continence and bother, and a pad test were used preoperatively and postoperatively to objectively evaluate operative results. RESULTS: At 1-year followup cure was achieved in 9.0% of patients and improvement was achieved in 45.5%. No effect on incontinence was seen in 36.5% of patients and 9.0% experienced worsening incontinence by pad test. The mean +/- SD visual analogue scale score of 6.1 +/- 2.2 (range 0 to 10) preoperatively improved significantly to 4.6 +/- 3.0 at 3 months (p = 0.024) and not significantly to 4.9 +/- 3.1 by 1 year postoperatively (p = 0.39). Improved incontinence did not correlate with patient age or incontinence severity. Complications developed in 2 patients, including sling infection and postoperative urinary retention in 1 each. CONCLUSIONS: The transobturator sling suspension operation is a minimally invasive, safe procedure for male postoperative stress incontinence. Significantly improved continence was not observed on pad test but significant improvement in continence and bother was seen on the visual analog scale at 3 months. SN - 1527-3792 UR - https://www.unboundmedicine.com/medline/citation/20172561/Can_advance_transobturator_sling_suspension_cure_male_urinary_postoperative_stress_incontinence DB - PRIME DP - Unbound Medicine ER -