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The two-year outcome of the I-Stop TOMS™ transobturator sling in the treatment of male stress urinary incontinence in a single centre and prediction of outcome.
Prog Urol. 2013 Dec; 23(17):1494-9.PU

Abstract

PURPOSE

The aim of this study was to present the results of the 2 year outcome of I-Stop TOMS™ transobturator sling for post-prostatectomy (UIPP) minor to moderate male urinary incontinence treatment.

MATERIALS AND METHODS

A prospective, single center study, including 26 patients with minor to moderate IUPP and operated on using a suburethral sling (MS) TOMS™ (four arms) was performed. UIPP assessment was made preoperatively and 1 year postoperatively, using validated questionnaires (SF36 and ICIQ), number of pads daily, and the 24 hours Pad-test (LPT). Telephone follow-up evaluation was performed in 21 patients over a 2 years period following surgery.

RESULTS

Radical prostatectomy was performed 48.4 months earlier and average patient age was 67.3 years. Preoperatively, the mean number of pads used daily was 2.3 with an average weight loss of 207.1grams at LPT. At 1 year, ICIQ and SF36 scores significantly improved. Weight loss in the LPT as well as the number of pads significantly decreased (P<0.05). At 1 year, 13 patients were cured, 12 were improved, one reached improvement criteria, and 96.2% using a pad daily maximum. With more than a 2 year follow-up, 10/21 patients were dry, nine improved and two failed, and 90.5% using 0 to 1 pad per day.

CONCLUSIONS

The transobturator TOMS™ male sling is a simple and well-tolerated procedure permitting a significant improvement of UIPP, with 50% of patients achieving complete continence at 1 year postoperatively, these good results continued beyond 2 years.

LEVEL OF EVIDENCE

4.

Authors+Show Affiliations

Urology Department, Rouen University Hospital Charles-Nicolle, 1, rue de Germont, 76031 Rouen cedex, France.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24286551

Citation

Drai, J, et al. "The Two-year Outcome of the I-Stop TOMS™ Transobturator Sling in the Treatment of Male Stress Urinary Incontinence in a Single Centre and Prediction of Outcome." Progres En Urologie : Journal De l'Association Francaise D'urologie Et De La Societe Francaise D'urologie, vol. 23, no. 17, 2013, pp. 1494-9.
Drai J, Caremel R, Riou J, et al. The two-year outcome of the I-Stop TOMS™ transobturator sling in the treatment of male stress urinary incontinence in a single centre and prediction of outcome. Prog Urol. 2013;23(17):1494-9.
Drai, J., Caremel, R., Riou, J., & Grise, P. (2013). The two-year outcome of the I-Stop TOMS™ transobturator sling in the treatment of male stress urinary incontinence in a single centre and prediction of outcome. Progres En Urologie : Journal De l'Association Francaise D'urologie Et De La Societe Francaise D'urologie, 23(17), 1494-9. https://doi.org/10.1016/j.purol.2013.08.308
Drai J, et al. The Two-year Outcome of the I-Stop TOMS™ Transobturator Sling in the Treatment of Male Stress Urinary Incontinence in a Single Centre and Prediction of Outcome. Prog Urol. 2013;23(17):1494-9. PubMed PMID: 24286551.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The two-year outcome of the I-Stop TOMS™ transobturator sling in the treatment of male stress urinary incontinence in a single centre and prediction of outcome. AU - Drai,J, AU - Caremel,R, AU - Riou,J, AU - Grise,P, Y1 - 2013/10/05/ PY - 2013/04/22/received PY - 2013/08/13/revised PY - 2013/08/21/accepted PY - 2013/11/30/entrez PY - 2013/11/30/pubmed PY - 2014/7/31/medline KW - Bandelette homme KW - Bandelette transobturatrice KW - Incontinence urinaire masculine KW - Male sling KW - Male urinary incontinence KW - Prostatectomy KW - Transobturator sling SP - 1494 EP - 9 JF - Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie JO - Prog Urol VL - 23 IS - 17 N2 - PURPOSE: The aim of this study was to present the results of the 2 year outcome of I-Stop TOMS™ transobturator sling for post-prostatectomy (UIPP) minor to moderate male urinary incontinence treatment. MATERIALS AND METHODS: A prospective, single center study, including 26 patients with minor to moderate IUPP and operated on using a suburethral sling (MS) TOMS™ (four arms) was performed. UIPP assessment was made preoperatively and 1 year postoperatively, using validated questionnaires (SF36 and ICIQ), number of pads daily, and the 24 hours Pad-test (LPT). Telephone follow-up evaluation was performed in 21 patients over a 2 years period following surgery. RESULTS: Radical prostatectomy was performed 48.4 months earlier and average patient age was 67.3 years. Preoperatively, the mean number of pads used daily was 2.3 with an average weight loss of 207.1grams at LPT. At 1 year, ICIQ and SF36 scores significantly improved. Weight loss in the LPT as well as the number of pads significantly decreased (P<0.05). At 1 year, 13 patients were cured, 12 were improved, one reached improvement criteria, and 96.2% using a pad daily maximum. With more than a 2 year follow-up, 10/21 patients were dry, nine improved and two failed, and 90.5% using 0 to 1 pad per day. CONCLUSIONS: The transobturator TOMS™ male sling is a simple and well-tolerated procedure permitting a significant improvement of UIPP, with 50% of patients achieving complete continence at 1 year postoperatively, these good results continued beyond 2 years. LEVEL OF EVIDENCE: 4. SN - 1166-7087 UR - https://www.unboundmedicine.com/medline/citation/24286551/The_two_year_outcome_of_the_I_Stop_TOMS™_transobturator_sling_in_the_treatment_of_male_stress_urinary_incontinence_in_a_single_centre_and_prediction_of_outcome_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1166-7087(13)00570-8 DB - PRIME DP - Unbound Medicine ER -