A narrative review on surgical treatment options for male stress urinary incontinence

Abstract

Background and Objective: Stress urinary incontinence (SUI) can occur due to a variety of etiologies.For male patients specifically, SUI is typically thought of as iatrogenic secondary to intrinsic sphincter deficiency occurring after prostate surgery. Given the noted negative impact that SUI can have on a man's quality of life, multiple treatment options have been developed to improve symptoms. However, there is no "One-Size-Fits-All" approach to management of male SUI. In this narrative review, we sought to highlight some of the various procedures and devices available to treat men with bothersome SUI.Methods: This narrative review gathered primary resources through Medline search, and secondary resources by cross-referencing citations used in articles of interest. We started our investigation by searching for previous systematic reviews on male SUI and treatments for male SUI. Furthermore, we reviewed societal guidelines, such as the American Urological Association and Society of Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction guidelines and the recently published European Urological Association guidelines. Our review focused on English-language full-length manuscripts when available.

Surgical Management of Male Stress Incontinence: Techniques, Indications, and Pearls for Success

“…Multiple adjustable male slings have been proposed, including – but not limited to – the Adjustable Trans-Obturator Male Sling (ATOMS), Argus, and Readjustment Mechanical External (REMEEX) System. 84 The theoretical advantage of such systems is the ability to adjust the level of urethral compression provided without requiring additional surgery. Currently, the REMEEX sling is the only model available in the US; this device consists of a modified suburethral sling which is situated at the proximal bulbar urethra via a retropubic approach.…”