Patient Perceived Effectiveness of a New Male Sling as Treatment for Post-Prostatectomy Incontinence

Gill, Bradley C.; Swartz, Mia A.; Klein, John B.; Rackley, Raymond R.; Montague, Drogo K.; Vasavada, Sandip P.; Angermeier, Kenneth W.

doi:10.1016/j.juro.2009.08.159

Cited by 37 publications

(28 citation statements)

References 14 publications

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“…Moreover, Wallerstedt et al [11] demonstrated that patients using only a safety pad had 5 times higher risk of bother than those using no pads after radical prostatectomy. Patient perceived effectiveness is also lower than the pad count as objective outcome measure [12]. One can therefore conclude that the decrease in pad usage per day is an unreliable outcome measure for success of incontinence operations.…”

Section: Discussionmentioning

confidence: 99%

Argus-T Adjustable Male Sling: The Influence of Surgical Technique on Complications and Short-Term Efficacy

Cornel

2016

Urol Int

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Objectives: The study aims to investigate and evaluate the influence of 2 different methods of implantation of the Argus transobturator (Argus-T) adjustable male sling on complication rate and short-term efficacy. Methods: A prospective mono-center evaluation was conducted on consecutive patients treated for persistent post-radical prostatectomy incontinence. Thirty-six patients were implanted with the Argus-T adjustable male sling - 18 by inguinal-perineal incision (IPI) and 18 by single-perineal incision (SPI). Measurements included 24-hour frequency volume micturition list, 24-hour pad test, 24-hour pad count, Visual Analogue Scale for continence and satisfaction, flowmetry and residual voided urine. Results: Cure rate for IPI and SPI at 1, 6 and 12 months was 67, 75, 62% and 59, 63, 63%, respectively (no statistically significant difference). Although more clinically significant complications were seen in the IPI group, a statistical significant difference was observed only for wound infection between the IPI and the SPI groups (33 vs. 0%, p = 0.019). Conclusions: The Argus-T male sling SPI suspension operation is a minimally invasive and safe procedure for the management of male postoperative stress incontinence which is highly appreciated by the patients.

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Section: Discussionmentioning

confidence: 99%

Argus-T Adjustable Male Sling: The Influence of Surgical Technique on Complications and Short-Term Efficacy

Cornel

2016

Urol Int

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“…The success rates have ranged from 54 to 80% at 1-year follow-up in prospective series [37][38][39][40]. At a longer mean follow-up of 21 months, there was a success rate of 78% (defined as cured: no pad/security pad or improved: >50% reduction in pad use) in 136 patients [39,41].…”

Section: Efficacy and Safetymentioning

confidence: 99%

Slings in the management of male stress urinary incontinence

Osman

2013

Current Opinion in Urology

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“…2 Outcome der publizierten Fallserien (Erfolgsrate: Heilung und Verbesserung >50%) Studie Erfolgsrate (%) Bauer et al [2] 76 Bauer et al [3] 50 (nach Radiotherapie) Cornel et al [8] 57 Cornu et al [9] 78 Rehder et al [31] 91 Gill et al [16] 60…”

Section: Studieunclassified

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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Patient Perceived Effectiveness of a New Male Sling as Treatment for Post-Prostatectomy Incontinence

Abstract: The AdVance sling is safe, and demonstrates similar subjective and objective outcomes. The procedure can benefit some individuals with post-prostatectomy incontinence and, therefore, may be another treatment option for this condition.

Cited by 37 publications

References 14 publications

Argus-T Adjustable Male Sling: The Influence of Surgical Technique on Complications and Short-Term Efficacy

Argus-T Adjustable Male Sling: The Influence of Surgical Technique on Complications and Short-Term Efficacy

Slings in the management of male stress urinary incontinence

Behandlung der männlichen Harninkontinenz

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