Ye H, et al. - In patients after prostatic surgery, the efficacy and tolerance of the AdVance Male Sling System for treating male stress urinary incontinence was investigated. For mild to moderate male stress urinary incontinence, the AdVance Male Sling System proved an effective treatment. With satisfactory results at 24 months, its use rarely led to complications.

Methods

• Researchers performed an international, observational, prospective, multicenter study on male patients with urinary incontinence after prostatic surgery.
• A 24-hour pad test with a threshold at 250 grams was performed with the patients.
• All patients had the same AdVance implant procedure.
• At 6 weeks, all patients were examined, and again at 3, 6, 12, and 24 months.
• Using 1-hour and 24-hour pad tests, the number of protective pads used, ICIQ-SF and IQoL questionnaires, they measured incontinence.
• The absence of urinary leakage and no pad use was defined as success.
• Definition for patient improvement was a reduction of more than 50% in leakage and no more than one pad used per day.
• Documentation of any perioperative and late complications was performed.

Results

• Researchers identified 113 patients who were successfully operated on from January 2007 to November 2012.
• Findings revealed that at 24 months after surgery, the mean weight of the 1-hour pad test had decreased from 48.7 grams to 6.6 grams (P < 0.001) while that of the 24-hour pad test decreased to 45.0 grams from 113.9 grams (P < 0.001).
• They observed success and improvement in 22.6% and 58.0% of the patients, respectively.
• None or one protective pad use daily was observed in 75 patients (80.6%); these patients showed significant improvement in both the IQoL and ICIQ-SF scores.
• A second intervention was required in 14 patients (12.4%).
• A Clavien IIIb complication was noted in 3 patients (2.7%).