Following the Needles: An Anatomical Study to Evaluate the Postoperative Safety and Symptoms of Patients Receiving a Transobturator Male Sling Implant

Pereira-Correia, João Antonio; Santos, Carolina Gama Rodrigues dos; Bastian-Pinto, Bernardo Gonçalves; Bilouro, Fernanda Cascardo; Hauaji, Caroline Fagundes Facó; Saud, André Luis Santos; Moraes, Fábio Sant'anna de; Muller, Valter

doi:10.1016/j.juro.2014.06.015

Cited by 3 publications

(2 citation statements)

References 14 publications

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“…It was hypothesized that the inflammatory reaction of the sling material may lead to tissue retraction and hypertonia of the obturator muscle, which may simulate a pinched pudendal nerve, inducing groin and perineal pain ( 87 , 88 ).…”

Section: Resultsmentioning

confidence: 99%

Update on complications of synthetic suburethral slings

et al. 2017

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Synthetic suburethral slings have become the most widely used technique for the surgical treatment of stress urinary incontinence. Despite its high success rates, significant complications have been reported including bleeding, urethral or bladder injury, urethral or bladder mesh erosion, intestinal perforation, vaginal extrusion of mesh, urinary tract infection, pain, urinary urgency and bladder outlet obstruction. Recent warnings from important regulatory agencies worldwide concerning safety issues of the use of mesh for urogynecological reconstruction have had a strong impact on patients as well as surgeons and manufacturers. In this paper, we reviewed the literature regarding surgical morbidity associated with synthetic suburethral slings.

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Section: Resultsmentioning

confidence: 99%

Update on complications of synthetic suburethral slings

et al. 2017

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“…that analyzed the course of the Argus T™ (Promedon SA, Cordoba, Argentina) needles and sling in relation to the pelvic neuro‐anatomy. Although the authors extensively elaborate on the anatomical relation of the sling and the obturator neurovascular bundle, the proximity of the tape to the PN and DNP was not discussed [10].…”

Section: Discussionmentioning

confidence: 99%

Risk of Damage to the Somatic Innervation of the Penis During the AdVance™ Procedure: An Anatomical Study

Hogewoning

Elzevier

Pelger

et al. 2015

The Journal of Sexual Medicine

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Introduction One of the methods to treat post radical prostatectomy stress urinary incontinence is the AdVance™ (American Medical Systems®, Minnetonka, MN, USA) male sling procedure. During this procedure, the somatic innervation of the penis may be at risk for injury. Six AdVance™ procedures were performed in six donated bodies at the Anatomy and Embryology Department of the Leiden University Medical Centre. The pelves were dissected and the shortest distance between the sling and the dorsal nerve of the penis (DNP) was documented. Aim The aim of this study was to describe the anatomical relation between the AdVance™ male sling and penile nerves based on the dissection of six adult male pelves. Methods The AdVance™ male sling procedure was conducted in six donated male bodies. After placement, the pelves were dissected and the shortest distance between sling and the DNP was documented. Main Outcome Measure The main outcome measure was the distance between the AdVance™ male sling and the DNP. Results The mean distance of the sling to the DNP was 4.1 mm and was found situated directly next to the nerve (distance 0 mm) in 4 out of 12 (33%) hemipelves. The distance of the sling to the obturator neurovascular bundle was 30 mm or more in all six bodies. Conclusions Damage to the DNP caused by the AdVance™ male sling procedure appears to be an extremely rare complication, which has not been described in current literature. The proximity of the AdVance™ to the DNP could, however, pose a risk that should be taken into consideration by physicians and patients when opting for surgery.

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Review of surgical implant procedures for male incontinence after radical prostatectomy according to IDEAL framework

2017

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Most aspects of surgical therapy for stress urinary incontinence (SUI) after radical prostatectomy (RP) are under debate or poorly studied. A systematic review was conducted and a literature search was carried out through PubMed database for articles on the surgical procedures for male SUI after RP published from Jan 2010 to Nov 2016. The efficacy results (pad count, 24 h pad test), complications, and quality of life (QoL) were reported. The included studies were categorized in accordance with the IDEAL framework of surgical innovation. Only Stage 0-2 IDEAL studies were revealed by systematic review of the literature. Randomized and long-term trials are missing. The current evidence on male SUI therapy is low. IDEAL-conform evaluation of new therapies should be applied in the future.

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Following the Needles: An Anatomical Study to Evaluate the Postoperative Safety and Symptoms of Patients Receiving a Transobturator Male Sling Implant

Cited by 3 publications

References 14 publications

Update on complications of synthetic suburethral slings

Update on complications of synthetic suburethral slings

Risk of Damage to the Somatic Innervation of the Penis During the AdVance™ Procedure: An Anatomical Study

Review of surgical implant procedures for male incontinence after radical prostatectomy according to IDEAL framework

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