Erosion of a Male Polypropylene Sling

Hakim, Jonathan I.; Gignac, Monique A. M.

doi:10.1097/01.ju.0000142106.38139.e2

Cited by 6 publications

(3 citation statements)

References 3 publications

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“…Urethral erosion is a well‐defined complication in the female SUI population. It has not been frequently reported with the BAS, although it may be associated with infection necessitating sling removal in some patients [22,37].…”

Section: Resultsmentioning

confidence: 99%

The male sling for post‐prostatectomy urinary incontinence: a review of contemporary sling designs and outcomes

Welk

Herschorn

2011

BJU International

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What ' s known on the subject? and What does the study add? Long-term cure and improved rates for the bone anchored sling range from 40 -88%. Midterm cure and improved rates for the retrourethral transobturator sling rage from 76 -91%. Midterm cure and improved rates for the adjustable retropubic sling rage from 72 -79%.Potential complications common to all urethral slings include postoperative urinary retention, perineal pain, and urethral erosion/device infection. All male urethral slings have primarily been studied in post radical prostatectomy patients, with inconsistent success among patients with prior pelvic radiation. • To examine the outcomes and adverse events associated with novel male sling designs described in the last decade. METHODS• A literature review was carried out using Medline, EmBase, Cochrane Registered Trials Database and the Center for Reviews and Dissemination Database. RESULTS• Three principal slings are described in the literature. The bone-anchored sling has success rates of 40 -88%, with some series having a mean follow-up of 36 -48 months. It is associated with a mesh infection rate of 2 -12%, which usually requires sling explantation.• The retrourethral transobturator sling has a success rate of 76 -91% among three large case series with follow-ups of 12 -27 months. There is a low reported explantation rate.• The adjustable retropubic sling has a success rate of 72 -79% with follow-ups of 26 -45 months. Erosion (3 -13%) and infection (3 -11%) can lead to explantation. CONCLUSIONS• Most male slings have a similar reported effi cacy. Most case series defi ne success as either dry or improved. True cure rates are lower. Mid-and long-term data are now available that indicate the male sling is a viable option for PPI.• The use of male slings in severe UI, radiated patients, and non-radical prostatectomy patients is still unclear. Further study is needed to try and defi ne criteria for the use of male slings, and to directly compare different procedures.INTRODUCTION Prostate cancer is the most common solid organ cancer in men. It accounts for 22 -28% of all male cancers, and > 500 000 men are diagnosed a year in the USA and Europe [ 1,2 ] . Mortality rates are estimated at ≈ 10%, and are slowly declining [ 1,2 ] . The improving mortality rates are contrasted by the continued long-term morbidity related to prostate cancer treatment.

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Section: Resultsmentioning

confidence: 99%

The male sling for post‐prostatectomy urinary incontinence: a review of contemporary sling designs and outcomes

Welk

Herschorn

2011

BJU International

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“…Its use in men with SCI has not been widely described in the literature. There is one report of sling erosion in a man with neurogenic SUI thought to be secondary to excessive tension placed on the graft and prolonged urethral catheterization secondary to retention [21]. As the goal for most patients with neurogenic bladder with SUI is retention (and the subsequent need for intermittent catheterization), this modality should be used cautiously.…”

Section: Management Of An Incompetent Outletmentioning

confidence: 98%

Management of neurogenic voiding dysfunction in the male patient

Ginsberg

2007

Curr Bladder Dysfunct Rep

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“…In men only few have been reported so far. 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%

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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Erosion of a Male Polypropylene Sling

Cited by 6 publications

References 3 publications

The male sling for post‐prostatectomy urinary incontinence: a review of contemporary sling designs and outcomes

The male sling for post‐prostatectomy urinary incontinence: a review of contemporary sling designs and outcomes

Management of neurogenic voiding dysfunction in the male patient

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

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