The use of male slings in the treatment of severe post prostatectomy urinary incontinence: a comparative study in patients with or without radiotherapy

Abstract Introduction: Urinary incontinence is a hostile complication following radical prostatectomy in patients with prostate cancer. The AUS achieves higher continence rates than male slings; however, its revision rates are not insignificant. The aim of this study was to investigate whether the Advance XP male sling could be an effective treatment option to improve quality of life in patients with severe post prostatectomy urinary incontinence, comparing patients with and without prior radiotherapy. Methods: it was a prospective study assessing the satisfaction, social continence and urodynamic predictors of failure for patients who had undergone to male sling to treat PPI. Outcomes: Fifty-eight patients with severe post prostatectomy urinary incontinence underwent Advance XP male sling. The overall satisfaction was almost 90%. Patients who had undergone RT presented lower abdominal leak point pressure and lower social continence, without any difference regarding satisfaction. Conclusion: Advance XP sling represents a viable option to treat patients with severe urinary incontinence, reaching high satisfaction rates and social continence. Although prior radiotherapy decreases social continence outcomes, overall patient satisfaction remains acceptable.