Implantation of the argus sling in a hard-to-treat patient group with urinary stress incontinence

Aagaard, Mark Faurholt; Khayyami, Yasmine; Hansen, Frank; Tofft, Hans Peter; Nordling, Jørgen

doi:10.1080/21681805.2018.1517823

Cited by 2 publications

(3 citation statements)

References 20 publications

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“…In the literature, the reduced number of pad use is given as 3.3 to 3.6 [ 9 , 10 ]. In addition, in their cohort, Aagaard et al reported that the pad weight was reduced to 250 gr and the number of pads was reduced to four per day [ 20 ]. Our results were found compatible with the literature.…”

Section: Discussionmentioning

confidence: 99%

“…We found that the success rate was not affected by etiology, and the Argus sling was equally effective in the treatment of incontinence following TURP and RP (p = 0.50). In other studies, the rate of TUR-P varied between 9.9% and 14.6%, but to the best of our knowledge, none of those studies compared the outcomes in terms of the patients who developed incontinence after TURP and RP [ 18 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

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Adjustable Male Sling for The Treatment of Postprostatectomy Stress Urinary Incontinence: Intermediate-Term Follow-Up Results

Yanaral¹,

Gültekin²,

Halis³

et al. 2023

Cureus

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Objective To evaluate the outcomes of adjustable male sling (Argus®) implantation in the management of post-prostatectomy incontinence (PPI) with intermediate-term follow-up results. Materials and methods The data on adjustable male sling surgery between September 2015 and September 2020 were retrospectively analyzed. Patients were preoperatively evaluated with a voiding diary, 24-hour pad test, and validated questionnaire. Functional outcomes were also evaluated using 24-hour pad requirement and pad weight, and the International Consultation on Incontinence (ICIQ‐SF) score. Results A total of 16 patients (eight having undergone the transurethral resection of the prostate [TUR-P] and eight radical prostatectomy [RP]) were enrolled in the study. Thirteen patients had moderate (81.25%) PPI, and three patients (18.75%) had severe PPI. With the mean follow-up of 36.9±14.3 months, nine patients (56.2%) were noted as cured and four (25%) as improved, with an overall success rate of 81.2%. At the last follow-up visit, the median number of pads used per day decreased from 3.5 to 1, and the 24-hour pad test result decreased from 300 to 50 gr (p < 0.001 and p < 0.001, respectively). The ICIQ-SF score decreased from the initial mean of 15.8 ± 2.3 to 7.1 ± 6.6 (p < 0.001). When the outcomes were compared according to the etiology, there was no statistically significant difference (p = 0.522). Conclusions Male sling surgery can be performed safely in patients with moderate and severe stress urinary incontinence with low complication and high success rates. The results of TUR-P-related PPI are similar to those of surgery performed due to the etiology of RP.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Adjustable Male Sling for The Treatment of Postprostatectomy Stress Urinary Incontinence: Intermediate-Term Follow-Up Results

Yanaral¹,

Gültekin²,

Halis³

et al. 2023

Cureus

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“…This condition represents a major issue since it has been proven that its occurrence negatively impacts patients' quality of life (QoL), leading to withdrawal from social activities (2)(3)(4)(5)(6) and affecting primary disease treatments outcomes (7,8). In these cases, according to different surgical technique implemented, the incidence of male SUI widely ranges, showing 0-2% rate following benign prostatic surgery and 5-35% after radical prostatectomy (RP) (9,10). These high differences in SUI incidences can be due to a wide variation within different continence definitions, variable diagnostic evaluation, inclusion/exclusion criteria and type of surgical procedures performed among available literature evidence (11).…”

Section: Introductionmentioning

confidence: 99%

Adjustable bulbourethral male sling: Experience after 30 cases of moderate to severe male stress urinary incontinence

Cotugno¹,

Martens²,

Pirola

et al. 2020

Arch Ital Urol Androl

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Objective: To report our experience using the Argus perineal sling from July 2015 to April 2018 for male stress urinary incontinence (SUI) after prostatic surgery. To evaluate the safety, efficacy and healthrelated quality of life in patients undergoing this procedure. Patients and methods: The positioning of an adjustable bulbourethral male sling provides a perineal incision, exposure of the bulbospongiosus muscle and the application of the sling bearing on it with transobturator passage of the two extremities with out-in technique. To modulate the bearing tension on the urethra, with a rigid cystoscope the Retrogade Leak Point Pressure is measured, increasing it by 10-15 cm of H20 from baseline. We retrospectively evaluated the results of this implant performed by the same operator on 30 patients who presented post-operative SUI from medium to severe (> = 2 pads/day, pad test at one hour > = 11 g). Mean operative time and possible intra and postoperative complications were evaluated. Postoperatively each patient was reassessed according to the following parameters: number of pads consumed/ die, pad tesy at one hour, ICQS-F, any related side effects. Results: After the intervention, 21 of 30 patients (70% of the total) were totally continent (< 1 pad / day, pad test at 1 h < 1-2 g, ICQS-F < 11), out of them 4 required a single adjustment at 3 months in order to achieve this result. 9 of 30 patients (30 %) achieved a clinically significant improvement without obtaining total continence (mean reduction of the n° pads/day: -2.5 ± 1 DS; average reduction of the pad test at 1 h: -20 g ± 4 DS; ICQS-F average reduction: -6 points ± 2 DS), out of them 5 required a 3 month adjustment to obtain these improvements resulting, 4 needed 2 adjustments resulting because the first adjustment was not satisfactory and one who ameliorated from severe to moderate incontinence decided to live in this clinical condition. Conclusions: The results of our study show that the positioning of this sling represents a valid treatment for the moderate and severe post-surgical male SUI. The possibility of adjusting the tension of the sleeve in a "second look" makes the intervention adaptable according to the results obtained. Only multicentric clinical trials on larger series would clarify and eventually confirm the clinical benefits of this sling in post-surgical male SUI.

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Implantation of the argus sling in a hard-to-treat patient group with urinary stress incontinence

Cited by 2 publications

References 20 publications

Adjustable Male Sling for The Treatment of Postprostatectomy Stress Urinary Incontinence: Intermediate-Term Follow-Up Results

Adjustable Male Sling for The Treatment of Postprostatectomy Stress Urinary Incontinence: Intermediate-Term Follow-Up Results

Adjustable bulbourethral male sling: Experience after 30 cases of moderate to severe male stress urinary incontinence

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