Tags

Type your tag names separated by a space and hit enter

Results of the AdVance transobturator male sling after radical prostatectomy and adjuvant radiotherapy.
Urology. 2011 Feb; 77(2):474-9.U

Abstract

OBJECTIVES

To prospectively evaluate the efficacy of the functional AdVance transobturator sling for the treatment of male stress urinary incontinence (SUI) in patients after radical prostatectomy and additional adjuvant radiotherapy.

METHODS

Between February 2007 and November 2008, 24 patients with postprostatectomy SUI (ICS grade 2-4) and additional adjuvant radiotherapy were treated consecutively with the AdVance sling. Preoperatively, intensive workup, including urodynamic assessment and flexible urethroscopy, was performed. Physical examinations (pad test, uroflowmetry, ultrasound) and questionnaires (I-QOL score, ICIQ-UI-SF score) were performed during baseline and during follow-up. Cure rate was defined as no pad use or one dry pad, and improved rate as 1-2 pads or reduction of pads by ≥50%.

RESULTS

After a median follow-up of 18.0 months (range 12-33 months, mean 18.8 months), the success rate was 50%. Daily pad use and pad weight in the 1-hour pad test decreased significantly. Patients with ICS grade 2 SUI exhibited a trend for a better success rate in comparison with patients with grade 3 and 4 SUI. Results were durable over time. Postoperatively, 16.7% of the patients exhibited transient acute urinary retention which resolved without further treatment after a maximum of 6 weeks. 1 sling had to be removed because of initial misplacement.

CONCLUSIONS

In selected patients after adjuvant radiotherapy, the AdVance sling achieved a success rate of 50% and results were stable in a median follow-up of 18 months. Complication rates were low and comparable to complication rates for patients without additional radiotherapy.

Links

Publisher Full Text
Aggregator Full Text

Authors+Show Affiliations

Bauer RM
Department of Urology, Ludwig-Maximilian-University, Munich, Germany. Ricarda.Bauer@med.uni-muenchen.de
Soljanik I
No affiliation info available
Füllhase C
No affiliation info available
Buchner A
No affiliation info available
May F
No affiliation info available
Stief CG
No affiliation info available
Gozzi C
No affiliation info available

MeSH

AdultFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesProstatectomyProsthesis DesignRadiotherapy, AdjuvantSuburethral SlingsUrinary Incontinence, Stress

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21167563

Citation

Bauer, Ricarda M., et al. "Results of the AdVance Transobturator Male Sling After Radical Prostatectomy and Adjuvant Radiotherapy." Urology, vol. 77, no. 2, 2011, pp. 474-9.
Bauer RM, Soljanik I, Füllhase C, et al. Results of the AdVance transobturator male sling after radical prostatectomy and adjuvant radiotherapy. Urology. 2011;77(2):474-9.
Bauer, R. M., Soljanik, I., Füllhase, C., Buchner, A., May, F., Stief, C. G., & Gozzi, C. (2011). Results of the AdVance transobturator male sling after radical prostatectomy and adjuvant radiotherapy. Urology, 77(2), 474-9. https://doi.org/10.1016/j.urology.2010.07.541
Bauer RM, et al. Results of the AdVance Transobturator Male Sling After Radical Prostatectomy and Adjuvant Radiotherapy. Urology. 2011;77(2):474-9. PubMed PMID: 21167563.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Results of the AdVance transobturator male sling after radical prostatectomy and adjuvant radiotherapy. AU - Bauer,Ricarda M, AU - Soljanik,Irina, AU - Füllhase,Claudius, AU - Buchner,Alexander, AU - May,Florian, AU - Stief,Christian G, AU - Gozzi,Christian, Y1 - 2010/12/16/ PY - 2010/05/04/received PY - 2010/07/19/revised PY - 2010/07/29/accepted PY - 2010/12/21/entrez PY - 2010/12/21/pubmed PY - 2011/3/24/medline SP - 474 EP - 9 JF - Urology JO - Urology VL - 77 IS - 2 N2 - OBJECTIVES: To prospectively evaluate the efficacy of the functional AdVance transobturator sling for the treatment of male stress urinary incontinence (SUI) in patients after radical prostatectomy and additional adjuvant radiotherapy. METHODS: Between February 2007 and November 2008, 24 patients with postprostatectomy SUI (ICS grade 2-4) and additional adjuvant radiotherapy were treated consecutively with the AdVance sling. Preoperatively, intensive workup, including urodynamic assessment and flexible urethroscopy, was performed. Physical examinations (pad test, uroflowmetry, ultrasound) and questionnaires (I-QOL score, ICIQ-UI-SF score) were performed during baseline and during follow-up. Cure rate was defined as no pad use or one dry pad, and improved rate as 1-2 pads or reduction of pads by ≥50%. RESULTS: After a median follow-up of 18.0 months (range 12-33 months, mean 18.8 months), the success rate was 50%. Daily pad use and pad weight in the 1-hour pad test decreased significantly. Patients with ICS grade 2 SUI exhibited a trend for a better success rate in comparison with patients with grade 3 and 4 SUI. Results were durable over time. Postoperatively, 16.7% of the patients exhibited transient acute urinary retention which resolved without further treatment after a maximum of 6 weeks. 1 sling had to be removed because of initial misplacement. CONCLUSIONS: In selected patients after adjuvant radiotherapy, the AdVance sling achieved a success rate of 50% and results were stable in a median follow-up of 18 months. Complication rates were low and comparable to complication rates for patients without additional radiotherapy. SN - 1527-9995 UR - https://www.unboundmedicine.com/medline/citation/21167563/Results_of_the_AdVance_transobturator_male_sling_after_radical_prostatectomy_and_adjuvant_radiotherapy_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0090-4295(10)01810-8 DB - PRIME DP - Unbound Medicine ER -