MP88-09 ADVANCE XP MALE SLING: OUTCOME OF A PROSPECTIVE MULTICENTER STUDY

You have accessJournal of UrologyUrodynamics/Incontinence/Female Urology: Male Incontinence: Therapy1 Apr 2015MP88-09 ADVANCE XP MALE SLING: OUTCOME OF A PROSPECTIVE MULTICENTER STUDY Ricarda Bauer, Benedikt Klehr, Christian Gozzi, Alexander Kretschmer, Peter Rehder, Florian May, Christian Stief, Roland Homberg, and Peter Gebhartl Ricarda BauerRicarda Bauer More articles by this author , Benedikt KlehrBenedikt Klehr More articles by this author , Christian GozziChristian Gozzi More articles by this author , Alexander KretschmerAlexander Kretschmer More articles by this author , Peter RehderPeter Rehder More articles by this author , Florian MayFlorian May More articles by this author , Christian StiefChristian Stief More articles by this author , Roland HombergRoland Homberg More articles by this author , and Peter GebhartlPeter Gebhartl More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.1842AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES In recent years, several studies showed the effectiveness and safety of the AdVance sling for the treatment of male stress urinary incontinence (SUI). In end of 2010 the second generation of Advance, the AdVance XP was introduced with several changes of the sling design and with a new needle shape. Aim of the study was to evaluate the efficacy and safety of the AdVance XP sling in male SUI after radical prostatectomy in a prospective multicenter study. METHODS In total 83 patients were included. Patients with urine loss while lying, previous incontinence surgery and a coaptive zone <1cm were excluded. Postoperatively, a standardized 24-hour-padtest, quality of life scores (IQOL and ICIQ-UI SF), VAS for pain, IIEF5, IPSS and PGI-score were performed. All patients with 0-5g in the padtest were defined as cured and improved with a reduction of urine loss >50%. Significance analysis was performed with Wilcoxon-test. RESULTS Mean preop. urine loss in the padtest was 349g (median 270g). After a follow-up of 3 months(n= 83) 63.9% of the patients were cured and 31.3% improved. Mean urine loss decreased significantly to 43g (p<.001). Mean VAS was 0.6 (in 68 patients VAS was 0) and mean PGI 1.6. After a follow-up of 6 months (n= 80) 68.8% of the patients were cured and 23,8% improved. Mean urine loss decreased significantly to 19g (p<.001). Mean VAS was 0.5 and mean PGI 1.6. After a follow-up of 12 months (n= 65) 69.2% of the patients were cured and 21.5% improved. Mean urine loss decreased significantly to 18.5g (p<.001). Mean VAS was 0.4 and mean PGI 1.5. After a follow-up of 24 months (n= 30) 66.7% of the patients were cured and 13.3% improved. Mean urine loss decreased significantly to 6.8g (p<.001). Mean VAS was 0.3 and mean PGI 1.4. Mean I-QoL and ICIQ-UI SF improved significantly (both p<.001). There were no significant postop. changes in IIEF5 and IPSS. There was no difference in patients with urine loss <500cc and >500cc. No intraoperative complications occurred. In 6 patients (9.2% FU12 n=65) persistent urinary retention/residual urine occurred due to overtensioning of the sling during removal of the Tyvek liners. Therefore, the implantation technique was subsequently changed. These changes resulted in no further cases of persistent urinary retention. No erosion or explantation occured. CONCLUSIONS The AdVance XP shows good and stable effectiveness and low complication rates in a follow-up of up to 2 year. However overtensioning of the sling especially during removal of the Tyvek liners resulting in persistent urinary retention is possible. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e1095-e1096 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.Metrics Author Information Ricarda Bauer More articles by this author Benedikt Klehr More articles by this author Christian Gozzi More articles by this author Alexander Kretschmer More articles by this author Peter Rehder More articles by this author Florian May More articles by this author Christian Stief More articles by this author Roland Homberg More articles by this author Peter Gebhartl More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...