Objectives: To describe and illustrate a new minimally invasive approach to the treatment of male stress urinary incontinence following prostatectomy. Surgical Technique: Our initial experience consisted of four patients treated with the Advance sling for post-prostatectomy urinary incontinence. Sling placement involves the following steps: 1. Urethral dissection and mobilization, 2. Identification of surgical landmarks, 3. Placement of needle passers through the obturator foramen, 4. Mesh advancement, 5. Mesh tensioning and fixation, 6. Incision closure. Comments: Based on our initial experience, we believe that the Advance Male Sling System may be a safe technique for the treatment of male stress urinary incontinence. This technique is easy to perform and may offer a reproducible, transobturator approach. Further patient accrual is ongoing to assess the safety and reproducibility of this technique. Also, additional study will focus on efficacy standards and complication rates.

independently with painful bladder and urinary urgency symptoms. These results suggest the intriguing possibility that particular microbial patterns may be associated with specific symptoms, not necessarily diagnoses, which has important implications for future studies of the urinary tract microbiome and the development of diagnostic and treatment algorithms in LUTS.

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