Outcomes of a Noninferiority Randomised Controlled Trial of Surgery for Men with Urodynamic Stress Incontinence After Prostate Surgery (MASTER)

Evaluation of the 24‐h pad weight test as continence rate assessment tool after artificial urinary sphincter implantation for postprostatectomy urinary incontinence: A Swedish retrospective cohort study

“…The authors acknowledged in their discussion, that the 24-h PWT was "A useful metric at baseline" and stated that "From experience that it would probably be hard to get a lot of men to repeat their 24-h pad tests at 12 mo if they were more or less dry, and the research nurses confirmed this to be so." 16 In our study higher pre-and postoperative response rates of 99.5% and 87.8% at 3 months respectively were observed and it would be interesting to compare outcomes at 12 months in the near future.…”

“…In addition, multi‐center, randomized control trials are costly and funding for functional urology‐related clinical research is not easily available in Nordic settings, especially for functional evaluation and quality of life studies. The results of the MASTER trial, 15,16 a randomized non‐inferiority controlled study comparing male slings and AUS (article in press), showed an overall preoperative response rate of 83.7% (159/190) and only 27.8% (44/158) postoperatively using the 24‐h PWT to assess urinary leakage. The authors acknowledged in their discussion, that the 24‐h PWT was “ A useful metric at baseline “ and stated that “ From experience that it would probably be hard to get a lot of men to repeat their 24‐h pad tests at 12 mo if they were more or less dry, and the research nurses confirmed this to be so .” 16 In our study higher pre‐and postoperative response rates of 99.5% and 87.8% at 3 months respectively were observed and it would be interesting to compare outcomes at 12 months in the near future.…”

The Virtue quadratic male sling for postradical prostatectomy urinary incontinence: 3‐Year outcome measurements and a predictive model of surgical outcome from a European prospective observational study

“…Two cases required no treatment and the seven-other resolved with urethral catheterization and a successful voiding trial within an average of 4, 5 days. [1][2][3][4][5][6][7][8][9][10][11][12][13] No patients had persistent high PVR volume requiring revision of the sling.…”

Re: Paul Abrams, Lynda D. Constable, David Cooper, et al. Outcomes of a Noninferiority Randomised Controlled Trial of Surgery for Men with Urodynamic Stress Incontinence After Prostate Surgery (MASTER). Eur Urol 2021;79:812–23

“…At present, an artificial urinary sphincter (AUS) is still considered the gold standard for treating incontinence after radical prostatectomy, although no randomized controlled trial has compared the AUS to male slings to determine which device is the preferred choice [1]. Abrams and colleagues [2] recently reported on the MASTER trial, which tried to answer this question. Extensive experience with the AUS has accumulated, which is not the case for the male sling.…”