6533b823fe1ef96bd127f7c1

RESEARCH PRODUCT

Treatment of Severe Post-Prostatectomy Stress Urinary Incontinence Using Advance Sling

Darvinio MelloniSalvatore RomeoGioacchino LetoCostanza SalamoneMarco Vella

subject

Malemedicine.medical_specialtyUrinary Incontinence Stressmedicine.medical_treatmentUrologyUrinary incontinenceAdenocarcinomaDiabetes ComplicationsProsthesis ImplantationPostoperative ComplicationsHumansMedicinePost prostatectomyAgedRetrospective StudiesProstatectomybusiness.industryProstatectomyUrethral sphincterProstatic NeoplasmsRetrospective cohort studyProstheses and ImplantsGeneral MedicineMiddle AgedAdvance slingCombined Modality TherapyTreatment OutcomeChemotherapy AdjuvantImprovement rateHypertensionRadiotherapy AdjuvantImplantmedicine.symptombusiness

description

Severe stress urinary incontinence (SUI) is usually treated by the implant of artificial sphincter positioned around bulbar urethra. AdVance sling is a functional, non-obstructive, anti-incontinence device that showed good results especially for mild and moderate SUI. We present our experience with AdVance sling in 7 patients with severe SUI unfit for artificial sphincter. Our results, after a follow-up of more than 6 months, showed a continence rate of 28% and an improvement rate of 43%, while 2 patients did not show any benefit. The success of AdVance sling depends on the integrity of urethral sphincter and can be applied also in selected cases for the treatment of severe post-prostatectomy stress urinary incontinence.

https://doi.org/10.5301/ru.2011.6440