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Outcomes of Male Sling Mesh Kit Placement in Patients with Neuropathic Stress Urinary Incontinence: A Single Institution Experience.
Urol Int. 2015; 95(4):406-10.UI

Abstract

BACKGROUND AND OBJECTIVES

The mainstay of therapy in patients with neuropathic stress urinary incontinence (nSUI) has been through the use of artificial urinary sphincter (AUS). AUS infection/erosion rates are higher in nSUI patients and these patients tend to be younger, increasing the likelihood of multiple AUS revisions in the future. We review our experience with mesh male slings for patients with nSUI.

METHODS

A retrospective review of patients who had mesh sling placement.

RESULTS

Twenty patients were identified between 2003 and 2011. 14/20 (70%) (5 = AdVance, 8 = InVance, 1 = Virtue) were available for long-term evaluation; in 6/20 (30%) the sling was removed for either infection or perineal wound breakdown. The mean time from injury to male sling was 148.2 (29-449) months. Pre-/post-op fluorourodynamic study was performed in 13 and 7 patients, respectively. There were no significant differences in ALPP (46.4 vs. 55.7 cm H2O, p = 0.106) and MCC (456.6 vs. 608 ml, p = 0.21) in the 7 patients who had a post-op study: five patients had new onset low bladder compliance and two had new onset detrusor overactivity post-sling. With a mean follow-up of 24.7 (1-66) months, 4/14 (28.6%) had no UI.

CONCLUSIONS

With short-term follow-up, mesh male slings are a feasible option to treat nSUI. There appears to be a lower success rate for UI resolution, which may be attributable to new onset detrusor failure or wound infection requiring sling removal.

Authors+Show Affiliations

University of Southern California, Los Angeles, Calif., USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25969383

Citation

Vainrib, Michael, et al. "Outcomes of Male Sling Mesh Kit Placement in Patients With Neuropathic Stress Urinary Incontinence: a Single Institution Experience." Urologia Internationalis, vol. 95, no. 4, 2015, pp. 406-10.
Vainrib M, Reyblat P, Ginsberg D. Outcomes of Male Sling Mesh Kit Placement in Patients with Neuropathic Stress Urinary Incontinence: A Single Institution Experience. Urol Int. 2015;95(4):406-10.
Vainrib, M., Reyblat, P., & Ginsberg, D. (2015). Outcomes of Male Sling Mesh Kit Placement in Patients with Neuropathic Stress Urinary Incontinence: A Single Institution Experience. Urologia Internationalis, 95(4), 406-10. https://doi.org/10.1159/000381880
Vainrib M, Reyblat P, Ginsberg D. Outcomes of Male Sling Mesh Kit Placement in Patients With Neuropathic Stress Urinary Incontinence: a Single Institution Experience. Urol Int. 2015;95(4):406-10. PubMed PMID: 25969383.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Outcomes of Male Sling Mesh Kit Placement in Patients with Neuropathic Stress Urinary Incontinence: A Single Institution Experience. AU - Vainrib,Michael, AU - Reyblat,Polina, AU - Ginsberg,David, Y1 - 2015/05/06/ PY - 2014/09/22/received PY - 2015/03/24/accepted PY - 2015/5/14/entrez PY - 2015/5/15/pubmed PY - 2016/9/22/medline SP - 406 EP - 10 JF - Urologia internationalis JO - Urol Int VL - 95 IS - 4 N2 - BACKGROUND AND OBJECTIVES: The mainstay of therapy in patients with neuropathic stress urinary incontinence (nSUI) has been through the use of artificial urinary sphincter (AUS). AUS infection/erosion rates are higher in nSUI patients and these patients tend to be younger, increasing the likelihood of multiple AUS revisions in the future. We review our experience with mesh male slings for patients with nSUI. METHODS: A retrospective review of patients who had mesh sling placement. RESULTS: Twenty patients were identified between 2003 and 2011. 14/20 (70%) (5 = AdVance, 8 = InVance, 1 = Virtue) were available for long-term evaluation; in 6/20 (30%) the sling was removed for either infection or perineal wound breakdown. The mean time from injury to male sling was 148.2 (29-449) months. Pre-/post-op fluorourodynamic study was performed in 13 and 7 patients, respectively. There were no significant differences in ALPP (46.4 vs. 55.7 cm H2O, p = 0.106) and MCC (456.6 vs. 608 ml, p = 0.21) in the 7 patients who had a post-op study: five patients had new onset low bladder compliance and two had new onset detrusor overactivity post-sling. With a mean follow-up of 24.7 (1-66) months, 4/14 (28.6%) had no UI. CONCLUSIONS: With short-term follow-up, mesh male slings are a feasible option to treat nSUI. There appears to be a lower success rate for UI resolution, which may be attributable to new onset detrusor failure or wound infection requiring sling removal. SN - 1423-0399 UR - https://www.unboundmedicine.com/medline/citation/25969383/Outcomes_of_Male_Sling_Mesh_Kit_Placement_in_Patients_with_Neuropathic_Stress_Urinary_Incontinence:_A_Single_Institution_Experience_ L2 - https://www.karger.com?DOI=10.1159/000381880 DB - PRIME DP - Unbound Medicine ER -