Objective and Quality-of-Life Outcomes with Bone-Anchored Male Bulbourethral Sling

Gallagher, Brian L.; Dwyer, Neil T.; Gaynor-Krupnick, Darlene M.; Latini, Jerilyn M.; Kreder, Karl J.

doi:10.1016/j.urology.2007.02.057

Cited by 20 publications

(15 citation statements)

References 20 publications

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“…However, this mode of action may render the technique less effective than the artificial sphincter and may contribute to the lower cure rate in patients with severe incontinence [16]. The success rate we report is consistent with those reported in other studies [11,13,15,16].…”

Section: Discussionsupporting

confidence: 89%

“…In view of the small number of patients, no definitive conclusions can be drawn, though it remains possible that there is a higher failure rate in radiotherapy patients: increased periurethral fibrosis could make compression less effective [16]. Most previous publications have concluded that patients who previously underwent radiotherapy have a higher risk of an unsuccessful result after the positioning of a bone-anchored sling [10,15,16,25]. Our results seem to be in accordance with these findings.…”

Section: Discussionsupporting

confidence: 83%

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Efficacy of the InVance™ Male Sling in Treating Stress Urinary Incontinence: A Three-Year Experience from a Single Centre

Athanasopoulos

Konstantinopoulos

McGuire³

2010

Urol Int

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Introduction: The aim of this study was to evaluate the efficacy of the InVance™ male sling in treating stress urinary incontinence. Patients and Methods: We retrospectively reviewed operative logs from a single surgeon of 43 patients treated over a 3-year period (Feb. 2004 to Nov. 2006) for stress incontinence by implantation of a male bulbourethral bone-anchoring sling (InVance™). The mean follow-up time was 24.2 months (range 4–38). Radical prostatectomy was the most common cause of incontinence in this group (33/ 43 cases; 76.7%). Efficacy was evaluated objectively in terms of the number of pads used per day, while subjective patient satisfaction was also recorded. We also investigated a possible correlation between preoperative parameters and outcome. Results: Twenty-two patients (51.2%) were cured (totally dry: 30.2%; the remainder: 1 pad per day), while 8 (18.6%) patients improved but still required two pads per day. Overall, 30 of 43 patients (69.6%) were satisfied with the outcome of the operation. Postoperative infection was the most common complication (11.6%). The severity of preoperative incontinence correlated with the outcome of the operation, with mild incontinence giving better results. Conclusions: The bone-anchored male sling is an effective and minimally invasive treatment for mild-to-moderate male urinary incontinence.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 83%

Efficacy of the InVance™ Male Sling in Treating Stress Urinary Incontinence: A Three-Year Experience from a Single Centre

Athanasopoulos

Konstantinopoulos

McGuire³

2010

Urol Int

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“…The development of titanium bone screws to anchor the mesh into the pubic rami subsequently allowed the mesh to be placed through an entirely transperineal approach in a minimally invasive fashion, while allowing solid long-lasting fixation. Short-and medium-term follow-up from a number of single-centre studies are now available [15][16][17][18][19] and are comprehensively reviewed by Comiter 20 and by Sousa-Escandon and colleauges. 21 Cure rates range from 37% to 87%, cure or improved rates from 64% to 100% and satisfaction rates are typically 70% to 80%.…”

Section: Kevin V Carlson Md Frcscmentioning

confidence: 99%

Suburethral slings for postprostatectomy stress urinary incontinence

Carlson

2013

CUAJ

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“…Ein Harnverhalt tritt in bis 12% auf. Meist ist dieser selbstlimitierend und verschwindet nach etwa 2 Wochen [13]. Infektionen treten in bis zu 12% auf.…”

Section: Invance-bandunclassified

“…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…”

Section: Studiementioning

confidence: 99%

Behandlung der männlichen Harninkontinenz

Leicht

Thüroff

2012

Urologe

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Different kinds of sling systems for the therapy of male urinary incontinence have been developed during the last decade. All systems work by compressing the male urethra. There are adjustable and non-adjustable systems. Implantation is mostly a minimally invasive procedure. On the other hand the well-established AMS 800 hydraulic artificial sphincter has been available since 1972. Recently, another hydraulic artificial sphincter (FlowSecure) has become available providing a boost of occlusive pressure during stress. The aim of this review is to compare effectiveness and indications of the different techniques compared to the artificial sphincter.

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Objective and Quality-of-Life Outcomes with Bone-Anchored Male Bulbourethral Sling

Cited by 20 publications

References 20 publications

Efficacy of the InVance™ Male Sling in Treating Stress Urinary Incontinence: A Three-Year Experience from a Single Centre

Efficacy of the InVance™ Male Sling in Treating Stress Urinary Incontinence: A Three-Year Experience from a Single Centre

Suburethral slings for postprostatectomy stress urinary incontinence

Behandlung der männlichen Harninkontinenz

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