Extended follow-up of the AdVance XP male sling in the treatment of male urinary stress incontinence after 48 months: Results of a prospective and multicenter study.

Abstract

OBJECTIVE:

To evaluate the efficacy and safety of the AdVance XP male sling in a midterm follow-up for the treatment of male urinary incontinence in a selected patient cohort.

MATERIALS AND METHODS:

In all, 115 patients with postprostatectomy incontinence were prospectively enrolled. A previous endoscopic evaluation of a sufficient coaptive zone in the repositioning test was mandatory. Patients with urine leakage in supine position or previous incontinence surgery were excluded. Postoperatively a standardized 24-hour pad test and pad usage were evaluated. To compare pre- and postoperative continence status nonparametric t test was used. A P-value of <.05 was seen as statistically significant.

RESULTS:

Median preoperative urine loss in the 24-hour pad test was 272 g (min. 42-max. 1600) and was significantly improved at any point in follow-up. Success was defined as 0 pads per day and a maximum of 5 g in the 24-hour pad test. After a follow-up of 48 months, 71.7% of the patients were cured, whereas 15.0% of patients had an improved continence situation and 13.3% were classified as failed. Mean urine loss decreased significantly to 24.4 g (P ≤ .001). No severe intra- or postoperative complications are to be reported. Median follow-up was 4.2 years.

CONCLUSIONS:

A stable effectiveness in a selected patient cohort can also be demonstrated in an extended follow-up. The complication rates are low and no late postoperative complications occurred, indicating the safety of the procedure.

• Authors: Markus Grabbert, Jan-Niclas Mumm, Benedikt Klehr, Alexander Kretschmer, Peter Gebhartl, Christian Gozzi, Roland Homberg, Florian May, Peter Rehder, Christian G Stief, Ricarda M Bauer
• Journal: Neurourology and urodynamics (Neurourol Urodyn) Vol. 38 Issue 7 Pg. 1973-1978 (09 2019) ISSN: 1520-6777 [Electronic] United States
• PMID: 31297894 (Publication Type: Journal Article, Multicenter Study)
• Copyright: © 2019 Wiley Periodicals, Inc.

Topics

• Aged
• Aged, 80 and over
• Follow-Up Studies
• Humans
• Male
• Middle Aged
• Postoperative Complications (etiology, surgery)
• Postoperative Period
• Prospective Studies
• Prostatectomy (adverse effects)
• Suburethral Slings
• Treatment Outcome
• Urinary Incontinence, Stress (etiology, surgery)