Current Opinion in Urology

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Current Opinion in Urology:
doi: 10.1097/MOU.0b013e32833ecd09
Reconstructive surgery: Edited by Christopher R. Chapple

Are male slings for post-prostatectomy incontinence a valid option?

Welk, Blayne K; Herschorn, Sender

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Purpose of review: Stress incontinence in men is still a common problem after surgical treatment of prostatic disease. This article reviews the techniques and results of recently described surgical slings available to treat male stress incontinence.

Recent findings: Medium-term follow-up (mean 3–4 years) of patients treated with bone-anchored slings has been recently published, suggesting a success rate (cured or improved) of 70–80%. Short-term follow-up (mean of 6–12 months) of transobturator retrourethral slings demonstrates a success rate of 62–83%. Novel sling designs include mechanisms to manipulate the tension postoperatively and inside-out transobturator trocar passage. Common complications associated with slings are acute urinary retention and perineal pain. Rare complications include urethral erosion and infection. Retropubic approaches are associated with a risk of bladder perforation.

Summary: Male slings are a valid option for treating male stress incontinence, and do offer several advantages over the artificial urinary sphincter. However, long-term data and multicenter series are needed in order to compare directly with the artificial urinary sphincter.

© 2010 Lippincott Williams & Wilkins, Inc.


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