The bone-anchor sub-urethral sling for the treatment of iatrogenic male incontinence: subjective and objective assessment after 41 months of mean follow-up

Giberti, Claudio; Gallo, Fabrizio; Schenone, Maurizio; Cortese, Pierluigi

doi:10.1007/s00345-007-0222-3

Cited by 47 publications

(39 citation statements)

References 27 publications

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“…Previous studies have not found any significant obstructive impact on the micturion pattern of patients when using this technique [11, 13, 19-21, 26, 27]. Giberti et al [20] reported that, of the urodynamic parameters recorded, only increased VLPP was successful in postoperative outcome. Hairston and Ghoniem [28] utilized fluorourodynamic studies and demonstrated an increase in VLPP in patients undergoing the male sling procedure, but without an appreciable change in urethral or voiding pressures.…”

Section: Discussionmentioning

confidence: 94%

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: Discussionmentioning

confidence: 94%

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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“…Insbesondere unter Berücksichtigung der präoperativen Inkontinenzrate wurden dann lediglich Erfolgsraten von 67/50/0% bei leichter/mittelgradiger/schwerer Inkontinenz erzielt [6]. Als Komplikationen dieser Methode werden typischerweise perinealer Schmerz und Taubheitsgefühl von bis zu 75% der Patienten angegeben [15,35,38].…”

Section: Invance-bandunclassified

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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“…Biological grafts have also been employed; however, they do not appear to provide comparable efficacy to woven polypropylene mesh. 19 Composite grafts have also been used successfully. 30,31 American Medical Systems launched an AdVance transobturator sling in 2006, proposed to impart benefit not only via suburethral compression, but also by relocating and elevating the bulbar urethra more proximally.…”

Section: Kevin V Carlson Md Frcscmentioning

confidence: 99%

“…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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The bone-anchor sub-urethral sling for the treatment of iatrogenic male incontinence: subjective and objective assessment after 41 months of mean follow-up

Abstract: BAUS implantation is a safe, effective, minimally invasive option for iatrogenic male incontinence due to ISD. It compares favourably with AUS.

Cited by 47 publications

References 27 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

Behandlung der männlichen Harninkontinenz

Suburethral slings for postprostatectomy stress urinary incontinence

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