Intermediate‐term results, up to 4 years, of a bone‐anchored male perineal sling for treating male stress urinary incontinence after prostate surgery

Abstract

anaesthesia. Patients were considered cured, if they stopped wearing continence pads and improved if the daily number of pads used decreased by at least half. The Incontinence Quality of Life questionnaire and a simple verbal question about patient satisfaction with the surgery were also used and complications were measured. RESULTSIn all, 40 patients (65%) were cured and 14 (23%) were improved after a mean followup of 28 months. The UI cure rates at 3 and 4 years follow-up were 70% and 66%, respectively. The most common side-effect was transient scrotal or perineal pain or numbness, which affected 12 patients (19%). There was a prolonged postvoid residual urine volume of > 100 mL in six patients (10%), which resolved within 2 weeks of indwelling catheterization. Explantation of the sling was required in two cases (3%) because of infection. In one patient (2%), revision was required for bone-anchor dislodgement. CONCLUSIONThe InVance sling offers good intermediateterm cure and improvement rates for SUI after prostatectomy. The procedure has an acceptably low rate of minor complications, and should be considered for treating men with less severe forms ( ≤ 5 pads per day) of SUI. KEYWORDS

Post Prostatectomy Incontinence

“…Guimarães et al (34) announced similar results with the same method in a 28 month follow-up. The sling material produces pressure on the bulbous part of the urethra in the surgical method of bone anchor sling.…”

Behandlung der männlichen Harninkontinenz

“…Erfolgsraten (%) Madjar et al [24] 88 Onur et al [26] 75 Dikranian et al [11] 88 Comiter [7] 80 Castle et al [6] 40 Gallagher et al [13] 55 Fassi-Fehri et al [12] 75 Guimarães et al [17] 84 Giberti et al [15] 70 Carmel et al [5] 76…”

Urinary Incontinence

“…Cure rates range from 37 to 65 % with success/improvement rates even higher depending on the de fi nition [ 193,196,228 ] . Outcomes for continence/cure are typically de fi ned as no pad or one dry pad/day with improvements de fi ned in some studies as a decrease in pad use by 50 % [ 196,221 ] .…”