Urologia internationalis · 2010
Efficacy of the InVance™ male sling in treating stress urinary incontinence: a three-year experience from a single centre.
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Athanasopoulos Anastasios, Konstantinopoulos Angelis, McGuire Edward
Аннотация
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.
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.
Предметные рубрики MeSH
AdultAgedAged, 80 and overHumansIncontinence PadsMaleMichiganMiddle AgedPatient SatisfactionProstatectomyProsthesis DesignRadiation InjuriesRadiotherapy, AdjuvantRecovery of FunctionRetrospective StudiesSeverity of Illness IndexSuburethral SlingsTime FactorsTransurethral Resection of ProstateTreatment OutcomeUrinary Incontinence, StressUrologic Surgical Procedures, MaleYoung Adult