Bone Anchored Sling for the Treatment of Post-Prostatectomy Incontinence

Madjar, Shahar; Jacoby, Karny; Giberti, Claudio; Wald, Moshe; Halachmi, Sarel; Issaq, Elias; Moskovitz, Boaz; Beyar, M.; Nativ, Ofer

doi:10.1097/00005392-200101000-00018

Cited by 137 publications

(70 citation statements)

References 18 publications

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“…Among the non-adjustable devices are various models of autologous facials slings or polypropylene tapes such as Invance™ (bone anchored sling), AdVance™ and other devices (21)(22)(23)(24)(25)(26)(27). The AdVance™, one of the most commonly used non-adjustable devices, reportedly has very good results (around 80%) in selected cases of mild to moderate PPI (3).…”

Section: Discussionmentioning

confidence: 99%

A transobturator adjustable system for male incontinence: 30-month follow-up of a multicenter study

Romano

Huebner²,

Rocha³

et al. 2014

Int. braz j urol.

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ARTICLE INFO ______________________________________________________________ ______________________Purpose: To report long-term results of the Argus T adjustable system for treatment of post-prostatectomy urinary incontinence (PPI). . Argus T has a long-term high success rate (86% cure + improvement at the 30-month follow-up). Good outcomes were achieved even in severe incontinence cases and maintained for over 30 months.

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Section: Discussionmentioning

confidence: 99%

A transobturator adjustable system for male incontinence: 30-month follow-up of a multicenter study

Romano

Huebner²,

Rocha³

et al. 2014

Int. braz j urol.

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“…En todas estas técnicas se procura restaurar los mecanismos fisiológicos de la micción, y en este sentido, se resuelve uno de los problemas que Totaltiene el esfínter urinario artificial, dado que no depende de la colaboración del paciente, y pueden ser implantados en hombres con limitaciones físicas y/o intelectuales. En la década de 70, Kaufman describió algunas técnicas para el tratamiento de la incontinencia masculina, utilizando la compresión de los tejidos peri-uretrales, obtenidos con el encruzamiento de los crura (Kaufman I), con pró-tesis de politetrafluoroetileno (Kaufman II) o prótesis de gel de silicona (Kaufman III) 1 . En estas técnicas, los puntos de fijación se realizan en tejidos blandos, que con el tiempo pierden su consistencia, disminuyendo por tanto la resistencia uretral artificialmente creada y facilitando así la recidiva de la incontinencia.…”

Section: Discussionunclassified

Sling bulbouretral: Experiencia del servicio

et al. 2005

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RESUMENSLING BULBOURETRAL -EXPERIENCIA DEL SERVICIO Objetivos: En el artículo los autores presentan los resultados clínicos verificados en los pacientes portadores de incontinencia urinaria de stress, tras el uso del sling bulbouretral de fijación en el hueso púbico (Invance ® ).Material y métodos: Entre Junio de 2003 y Diciembre de 2003, fueron implantados 10 slings en hombres con edades comprendidas entre los 60 y los 83 años (media 72,6 años), los cuales presentaban incontinencia tras cirugía prostática (prostatectomía radical retropúbica, prostatectomía radical perineal, cistoprostatectomía radical con neovejiga Camey II, resección transuretral o adenomectomía prostática transvesical).Resultados: Tras seguimiento de 9 meses (7 a 13 meses), 8 pacientes (80 %) están continentes (no necesitando utilizar compresas) y 2 (20%) presentan pérdidas mínimas al realizar algún esfuerzo (con la necesidad de una a dos compresas diarias). Todos ellos están satisfechos con el resultado de la cirugía realizada. Dos pacientes presentaron dolor perinanal que respondió con el uso de paracetamol. No se verificó ningún caso de hematoma perinanal, infección, rechazo o erosión uretral.Conclusión: El sling bulbouretral con fijación ósea, es un procedimiento quirúrgico poco invasivo, de fácil ejecución técnica, con tasas de continencia elevadas y asociado a baja morbilidad. A pesar de los resultados positivos presentados por nuestro equipo, que pueden resultar un estímulo para la continuación de la técnica, consideramos que será necesario un mayor seguimiento y una mayor experiencia global para que esta técnica quirúrgica se afirme y se transforme en una alternativa a la utilización del esfínter artificial.Palabras clave: Cáncer de próstata. Incontinencia. Cabestrillo masculino. ABSTRACT BULBOURETHRAL SLING. THE EXPERIENCE OF OUR SERVICEObjectives: The authors present the clinic results obtained with the bulbourethral sling application with pubic bone anchorage (Invance ® ) in patients with stress urinary incontinence.Material and methods: From July to December 2003, 10 slings were implanted in men between the 60's and the 83 years old (average 72,6 years), whose incontinence appeared after prostatic surgery (retro pubic radical prostatectomy, perineal radical prostatectomy, radical cystoprostatectomy with Camey II neobladder, transurethral resection, transvesical prostate adenomectomy).Results: After 9 months follow-up (3 to 7 months), 8 patients (80%) are continent (without need of using any pad) and 2 (20%) show minimum leakage with effort (need of 1 to 2 daily pads). All are satisfied with the surgery result. Two patients referred perineal pain, which was solved with Paracetamol. There was no case of perineal haematoma, infection, rejection or urethral erosion.Conclusion: The bulbourethral sling with bone anchorage is a rather invasive procedure, of easy technical execution, with high continence rates and associated to low morbidity. Although the presented results been an incentive to the technique prolongation, it would be neces...

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“…Optimal cure rates have been reported with the bone-anchored perineal sling and generally range from 39% to 90%, depending on the method of evaluation and definition of success. [77][78][79][80][81][82][83][84] As more experience is gained with this procedure, the importance of patient and material selection is emphasized, as it greatly impacts outcome. In a study of 46 men with a mean follow-up period of 18 months, the procedure was successful in 76%, resulted in improvement in 35%, and failed in 24% of patients due to the use of absorbable graft material.…”

Section: Non-adjustable Male Slingsmentioning

confidence: 99%

Post-prostatectomy incontinence: Etiology, evaluation, and management

Singla

2014

Turkish Journal of Urology

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Urinary incontinence after prostatectomy or radiation is a devastating problem in men and remains the most feared complication following the treatment of localized prostate cancer. With an increasing number of radical prostatectomies performed globally for prostate cancer, the impact of urinary incontinence on quality of life assumes an even greater importance. With the advent of male sling procedures, more men are now seeking treatment for incontinence. Since the introduction of the artificial urinary sphincter almost four decades ago, several surgical procedures have emerged to manage post-prostatectomy incontinence, including the male sling for milder forms of incontinence. Several of the newer procedures have shown promise in the United States; many others have been developed and utilized in other parts of the world, though they have not yet gained FDA approval in the United States. The present review seeks to illuminate the etiology, evaluation, and management of post-prostatectomy incontinence. An effort has been made to provide an algorithm to clinicians for appropriate surgical management. The surgical techniques of commonly performed procedures and their outcomes are described.

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Bone Anchored Sling for the Treatment of Post-Prostatectomy Incontinence

Cited by 137 publications

References 18 publications

A transobturator adjustable system for male incontinence: 30-month follow-up of a multicenter study

A transobturator adjustable system for male incontinence: 30-month follow-up of a multicenter study

Sling bulbouretral: Experiencia del servicio

Post-prostatectomy incontinence: Etiology, evaluation, and management

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