The Bone Anchor Suburethral Synthetic Sling for Iatrogenic Male Incontinence: Critical Evaluation at a Mean 3-Year Followup

Giberti, Claudio; Gallo, Fabrizio; Schenone, Maurizio; Cortese, Pierluigi; Ninotta, G.

doi:10.1016/j.juro.2009.01.022

Cited by 59 publications

(34 citation statements)

References 19 publications

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“…To date, no influence of patients' age on the outcome and complication rates could be identified in MS [14,18,19] or AUS [7] . In this regard, our results are consistent with the present literature of AUS and MS.…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Failure of Male Slings and Artificial Urinary Sphincters: Results from a Large Middle European Cohort Study

Hüsch

Kretschmer²,

Thomsen³

et al. 2016

Urol Int

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Introduction: We analysed the impact of predefined risk factors: age, diabetes, history of pelvic irradiation, prior surgery for stress urinary incontinence (SUI), prior urethral stricture, additional procedure during SUI surgery, duration of incontinence, ASA-classification and cause for incontinence on failure and complications in male SUI surgery. Materials and Methods: We retrospectively identified 506 patients with an artificial urinary sphincter (AUS) and 513 patients with a male sling (MS) in a multicenter cohort study. Complication rates were correlated to the risk factors in univariate analysis. Subsequently, a multivariate logistic regression adjusted to the risk factors was performed. A p value <0.05 was considered statistically significant. Results: A history of pelvic irradiation was an independent risk factor for explantation in AUS (p < 0.001) and MS (p = 0.018). Moreover, prior urethral stricture (p = 0.036) and higher ASA-classification (p = 0.039) were positively correlated with explantation in univariate analysis for AUS. Urethral erosion was correlated with prior urethral stricture (p < 0.001) and a history of pelvic irradiation (p < 0.001) in AUS. Furthermore, infection was correlated with additional procedures during SUI surgery in univariate analysis (p = 0.037) in MS. Conclusions: We first identified the correlation of higher ASA-classification and explantation in AUS. Nevertheless, only a few novel risk factors had a significant influence on the failure of MS or AUS.

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Section: Discussionmentioning

confidence: 99%

Risk Factors for Failure of Male Slings and Artificial Urinary Sphincters: Results from a Large Middle European Cohort Study

Hüsch

Kretschmer²,

Thomsen³

et al. 2016

Urol Int

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“…Optimal cure rates have been reported with the bone-anchored perineal sling and generally range from 39% to 90%, depending on the method of evaluation and definition of success. [77][78][79][80][81][82][83][84] As more experience is gained with this procedure, the importance of patient and material selection is emphasized, as it greatly impacts outcome. In a study of 46 men with a mean follow-up period of 18 months, the procedure was successful in 76%, resulted in improvement in 35%, and failed in 24% of patients due to the use of absorbable graft material.…”

Section: Non-adjustable Male Slingsmentioning

confidence: 99%

Post-prostatectomy incontinence: Etiology, evaluation, and management

Singla

2014

Turkish Journal of Urology

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Urinary incontinence after prostatectomy or radiation is a devastating problem in men and remains the most feared complication following the treatment of localized prostate cancer. With an increasing number of radical prostatectomies performed globally for prostate cancer, the impact of urinary incontinence on quality of life assumes an even greater importance. With the advent of male sling procedures, more men are now seeking treatment for incontinence. Since the introduction of the artificial urinary sphincter almost four decades ago, several surgical procedures have emerged to manage post-prostatectomy incontinence, including the male sling for milder forms of incontinence. Several of the newer procedures have shown promise in the United States; many others have been developed and utilized in other parts of the world, though they have not yet gained FDA approval in the United States. The present review seeks to illuminate the etiology, evaluation, and management of post-prostatectomy incontinence. An effort has been made to provide an algorithm to clinicians for appropriate surgical management. The surgical techniques of commonly performed procedures and their outcomes are described.

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“…Outcomes for continence/cure are typically de fi ned as no pad or one dry pad/day with improvements de fi ned in some studies as a decrease in pad use by 50 % [ 196,221 ] . For example, one study of bone-anchored synthetic slings demonstrated a 55 % cure rate at 3 years [ 194 ] . In fact, a reference chart is available to predict the success of bone-anchored perineal sling placement (Fig.…”

Section: Urethral Slingsmentioning

confidence: 99%

“…Complications of suburethral sling placement include infection, urethral erosion, urinary retention, scrotal and perineal numbness, and pelvic pain [ 192,194,223 ] . The quality of life for men following the bulbourethral sling placement generally improves.…”

Section: Urethral Slingsmentioning

confidence: 99%

Urinary Incontinence

Skolarus

2012

Prostate Cancer: A Comprehensive Perspective

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The Bone Anchor Suburethral Synthetic Sling for Iatrogenic Male Incontinence: Critical Evaluation at a Mean 3-Year Followup

Abstract: The bone anchored suburethral synthetic sling is a simple and attractive procedure that can produce immediate good results with low morbidity, especially when strictly selected patients are treated. Radiotherapy remains a strong predictor of failure.

Cited by 59 publications

References 19 publications

Risk Factors for Failure of Male Slings and Artificial Urinary Sphincters: Results from a Large Middle European Cohort Study

Risk Factors for Failure of Male Slings and Artificial Urinary Sphincters: Results from a Large Middle European Cohort Study

Post-prostatectomy incontinence: Etiology, evaluation, and management

Urinary Incontinence

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