Mid-Term Complications After Placement of the Male Adjustable Suburethral Sling: A Single Center Experience

Dalpiaz, Orietta; Knopf, H.-J.; Orth, Stefan; Griese, Katrin; Aboulsorour, Sherif; Truß, Michael C.

doi:10.1016/j.juro.2011.03.131

Cited by 45 publications

(36 citation statements)

References 24 publications

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“…Dalpiaz et al [17] studied potential risk factors for general complication rates after Argus classic implantation and found no statistically significant impact of median age, comorbidity, incontinence grade, or previous pelvic irradiation. In contrast, Bochove-Overgaauw and Schrier [13] observed increased complication rates after Argus classic implantation in previously irradiated patients and patients with a history of urethral stricture disease.…”

Section: Discussionmentioning

confidence: 99%

Targeting Moderate and Severe Male Stress Urinary Incontinence With Adjustable Male Slings and the Perineal Artificial Urinary Sphincter: Focus on Perioperative Complications and Device Explantations

et al. 2017

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PurposeTo analyze perioperative complications and postoperative explantation rates for selected readjustable male sling systems and the perineal single-cuff artificial urinary sphincter (AUS) in a large, contemporary, multi-institutional patient cohort. MethodsTwo hundred eighty-two male patients who underwent implantation between 2010 and 2012 in 13 participating institutions were included in the study (n=127 adjustable male sling [n=95 Argus classic, n=32 Argus T], n=155 AUS). Perioperative characteristics and postoperative complications were analyzed. The explantation rates of the respective devices were assessed using the Fisher exact test and the Mann-Whitney U-test. A Kaplan-Meier curve was generated. Potential features associated with device explantation were analyzed using a multiple logistic regression model (P<0.05). ResultsWe found significantly increased intraoperative complication rates after adjustable male sling implantation (15.9% [adjustable male sling] vs. 4.2% [AUS], P=0.003). The most frequent intraoperative complication was bladder perforation (n=17). Postoperative infection rates did not vary significantly between the respective devices (P=0.378). Device explantation rates were significantly higher after AUS implantation (9.7% [adjustable male sling] vs. 21.5% [AUS], P=0.030). In multivariate analysis, postoperative infection was a strong independent predictor of decreased device survival (odds ratio, 6.556; P=0.001). ConclusionsComplication profiles vary between adjustable male slings and AUS. Explantation rates are lower after adjustable male sling implantation. Any kind of postoperative infections are independent predictors of decreased device survival. There is no significant effect of the experience of the implanting institution on device survival.

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Section: Discussionmentioning

confidence: 99%

Targeting Moderate and Severe Male Stress Urinary Incontinence With Adjustable Male Slings and the Perineal Artificial Urinary Sphincter: Focus on Perioperative Complications and Device Explantations

et al. 2017

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“…[2][3][4][5][6][7]12 Reported continence rate for the ARGUS Classic is 17%-79% in a maximum follow-up of up to 45 months. In general, onethird of the patients need readjustments.…”

Section: Complicationsmentioning

confidence: 99%

“…Mean number of adjustments were 3.97 (0-9) resp. 3.8 (1)(2)(3)(4)(5)(6). No intraoperative complications are reported.…”

Section: Complicationsmentioning

confidence: 99%

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Efficacy and Complications of the Adjustable Sling System ArgusT for Male Incontinence: Results of a Prospective 2-Center Study

Bauer

Rutkowski

Kretschmer

et al. 2015

Urology

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“…In that study, 79.2% of patients were considered to be dry, and the incontinence quality of life scale improved from a mean of 28.8 to 63.2 points after Argus sling placement. Dalpiaz et al [70] reported mid-term complications after the placement of the Argus sling at a median follow-up of 35 months. Overall, 24 patients (83%) experienced complications, including acute urinary retention (35%) and removal of the sling (35%) owing to urethral erosion, infection, system dislocation, urinary retention, and persistent pain.…”

Section: Management Of Stress Incontinencementioning

confidence: 99%

Current Trends in the Management of Post-Prostatectomy Incontinence

Kim

Cho

2012

Korean J Urol

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One of the annoying complications of radical prostatectomy is urinary incontinence. Post-prostatectomy incontinence (PPI) causes a significant impact on the patient's health-related quality of life. Although PPI is stress urinary incontinence caused by intrinsic sphincter deficiency in most cases, bladder dysfunction and vesicourethral anastomotic stenosis can induce urine leakage also. Exact clinical assessments, such as a voiding diary, incontinence questionnaire, pad test, urodynamic study, and urethrocystoscopy, are necessary to determine adequate treatment. The initial management of PPI is conservative treatment including lifestyle interventions, pelvic floor muscle training with or without biofeedback, and bladder training. An early start of conservative treatment is recommended during the first year. If the conservative treatment fails, surgical treatment is recommended. Surgical treatment of stress urinary incontinence after radical prostatectomy can be divided into minimally invasive and invasive treatments. Minimally invasive treatment includes injection of urethral bulking agents, male suburethral sling, and adjustable continence balloons. Invasive treatment includes artificial urinary sphincter implantation, which is still the gold standard and the most effective treatment of PPI. However, the demand for minimally invasive treatment is increasing, and many urologists consider male suburethral slings to be an acceptable treatment for PPI. The male sling is usually recommended for patients with persistent mild or moderate incontinence. It is necessary to improve our understanding of the pathophysiologic mechanisms of PPI and to compare different procedures for the development of new and potentially better treatment options.

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Mid-Term Complications After Placement of the Male Adjustable Suburethral Sling: A Single Center Experience

Cited by 45 publications

References 24 publications

Targeting Moderate and Severe Male Stress Urinary Incontinence With Adjustable Male Slings and the Perineal Artificial Urinary Sphincter: Focus on Perioperative Complications and Device Explantations

Targeting Moderate and Severe Male Stress Urinary Incontinence With Adjustable Male Slings and the Perineal Artificial Urinary Sphincter: Focus on Perioperative Complications and Device Explantations

Efficacy and Complications of the Adjustable Sling System ArgusT for Male Incontinence: Results of a Prospective 2-Center Study

Current Trends in the Management of Post-Prostatectomy Incontinence

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