1350 PRIOR RADIATION AFFECTS CONTINENCE OUTCOMES FOLLOWING ADVANCE TRANSOBTURATOR SLING PLACEMENT IN PATIENTS WITH POST-PROSTATECTOMY INCONTINENCE

You have accessJournal of UrologyUrodynamics/Incontinence/Female Urology: Incontinence—Evaluation & Therapy1 Apr 20111350 PRIOR RADIATION AFFECTS CONTINENCE OUTCOMES FOLLOWING ADVANCE TRANSOBTURATOR SLING PLACEMENT IN PATIENTS WITH POST-PROSTATECTOMY INCONTINENCE Robert Torrey, Nitya Rajeshuni, Nora Ruel, and Kevin Chan Robert TorreyRobert Torrey Duarte, CA More articles by this author , Nitya RajeshuniNitya Rajeshuni Duarte, CA More articles by this author , Nora RuelNora Ruel Duarte, CA More articles by this author , and Kevin ChanKevin Chan Duarte, CA More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.1171AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The AdVance transobturator urethral sling is a well documented and frequently used sling in men who have undergone a radical prostatectomy for primary treatment or salvage treatment of prostate cancer. We evaluated a cohort of patients (pts) who had a history of AdVance transobturator urethral sling placement for post-prostatectomy incontinence to determine if preoperative radiation (XRT) history had an effect on their postoperative outcome. METHODS 31 pts underwent placement of an AdVance transobturator urethral sling between April 2008 and April 2010. Pt's demographical, preop, periop, and postop details were compared using t-tests for comparison of means, fisher's exact test for comparison of proportions, and descriptive statistics regarding disease history, pad usage, urodyamic findings, and some of the categorical data. RESULTS The mean follow-up was 8.5months. All pts, regardless of XRT history, were reviewed with results showing that 64.5% used no pads, 12.9% were improved, 12.9% had no change, and 9.7% were worse following surgery. Further stratification by XRT history showed no statistical difference in pts with or without a history of XRT regarding age, BMI, or age-adjusted charlson comorbidity index. Pts who had a history of XRT used statistically more pads preop than pts without XRT history (2.6 vs 1.6; p=0.037), but had no statistical difference in their preoperative urodynamic findings. However, there was a statistical difference in the continence, as defined by pad usage, between the two cohorts. Pts with no h/o XRT when compared to those with a h/o XRT showed that 79.2% vs 14.3% used no postoperative pads, 8.3% vs 28.6% were improved in regards to postoperative pad usage, 12.5% vs 14.3% had no change in postoperative pad usage, and 0% vs 42.9% were worse regarding their postoperative pad usage, respectively (p=0.003). CONCLUSIONS While the AdVance transobturator sling is an excellent option in post-prostatectomy incontinence, extreme caution is recommended when considering placement in patients with a h/o XRT regardless of pad usage. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e539 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Robert Torrey Duarte, CA More articles by this author Nitya Rajeshuni Duarte, CA More articles by this author Nora Ruel Duarte, CA More articles by this author Kevin Chan Duarte, CA More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...