Experience of male transobturator AdVance sling implantation in patients with stress urinary incontinence after radical prostatectomy

Veliev, E.I.; Golubtsova, E.N.; Tomilov, A.A.

Urologiia 4: 37-41


ISSN/ISBN: 1728-2985
PMID: 24159763
Accession: 053125147

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For the period from April 2008 to March 2012, 12 men with mild-to-moderate and severe stress urinary incontinence underwent transobturator AdVance sling implantation. In the preoperative period, all patients underwent assessment, including history taking, physical, and instrumental and laboratory examination. Daily pad test was used as an objective method for the assessment of the degree of urinary incontinence. The use no more than one pad a day was considered as recovery, no more than 2 pads or reduction of the loss of urine by more than 50%--as an improvement. Median follow-up period was 28 months. The success of the operation was achieved in 91.7% of cases. Implantation of the sling led to the significant decrease of urine loss, the number of used pads and improvement of quality of life of patients. Infectious and inflammatory complications of acute urinary retention were not observed. Implantation of male transobturator AdVance sling is effective and safe treatment for patients with stress urinary incontinence after radical prostatectomy.