865 Transobturator Sling Suspension for Male Urinary Incontinence – Complication Rate

Gozzi, Christian; Mayer, Marcel; Schorsch, I.; Bauer, Ricarda M.; Soljanik, S.; Gratzke, Christian; Büchner, Alexander; Stief, Christian G.; Bastian, Patrick J.

doi:10.1016/s1569-9056(09)60851-4

Cited by 1 publication

(3 citation statements)

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“…A transobturator male sling study reported urinary retention in 29 out of 188 (15%) patients. All were able to void within 1 month after surgery [66]. Sling revision may become necessary in resistant cases.…”

Section: Complicationsmentioning

confidence: 93%

“…Goldberg et al reported a 1.3% incidence of pubic osteomyelitis in 290 consecutive women who underwent bladder neck suspension using suprapubic bone anchors [46]. Gozzi reported one explantation due to pubic osteitis/abacterial myositis in 188 male transobturator sling patients [66]. Comiter mentioned there were no bone complications in more than 350 cases of his male and female slings [39].…”

Section: Complicationsmentioning

confidence: 99%

“…The first case report of urethral erosion in a bone-anchored male sling was published in 2004 [68] and of a transobturator male sling in 2009 [69]. Both Gozzi and Bauer described only one sling explantation due to urethral erosion and sling misplacement in 188 and 124 male transobturator sling patients respectively [58,66].…”

Section: Complicationsmentioning

confidence: 99%

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The Male Sling for Post-Radical Prostatectomy Urinary Incontinence: Urethral Compression versus Urethral Relocation or What is Next?

Zeif

Almallah

2010

British Journal of Medical and Surgical Urology

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Male stress urinary incontinence is a common complication after prostatic surgery which can have a devastating effect on a patient's quality of life. Treatment can be difficult. If conservative management fails surgical options are available. The latter include the more recently developed male sling procedures which offer encouraging short-and medium-term efficacy and safety. Male slings offer a less invasive and less expensive treatment option compared to the artificial urinary sphincters and allow spontaneous voiding. Success is associated with careful patient selection with higher success rates seen in lower incontinence degrees. A number of innovative developments, products and techniques have led to the emergence of fundamental differences in the surgical mechanism of correcting sphincteric weakness. Male sling devices appear to be following two entirely different technical principles, i.e. compression of the urethra versus relocation of the urethral bulb. There is little doubt that materials and surgical techniques will continue to evolve and the male sling may increasingly become a treatment option in the management of male stress incontinence. However, further objective evaluation and restricted introduction in specialised units are required.

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Section: Complicationsmentioning

confidence: 93%