Retropubic vs transobturator Argus adjustable male sling: Results from a multicenter study

Loertzer, Hagen; Huesch, Tanja; Kirschner‐Hermanns, Ruth; Anding, Ralf; Rose, A. F. De; Brehmer, Bernhard; Naumann, Carsten Maik; Queissert, Fabian; Nyarangi‐Dix, Joanne; Homberg, Roland; Grabbert, Markus; Hofmann, Torben; Pottek, Tobias; Hübner, W.; Haferkamp, Axel; Bauer, Ricarda M.; Kretschmer, Alexander

doi:10.1002/nau.24316

Cited by 9 publications

(6 citation statements)

References 15 publications

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“…Up to now several studies investigated the effect of Argus-T sling on urinary incontinence after radical prostatectomy. 6,8,9,16 All authors found a significant improvement regarding daily urinary loss. Success rates as defined greater than 50% improvement of their urinary loss differ between 75% to 95%.…”

Section: Discussionmentioning

confidence: 90%

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Argus‐T adjustable male sling: A follow‐up study on urinary incontinence and patient's satisfaction

Casteleijn

Cornel

2021

Neurourology and Urodynamics

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Aims: The use of Argus-T adjustable sling may be a promising alternative option for the treatment of urinary incontinence after radical prostatectomy, however long-term data is lacking. The aim of this study is to evaluate the long-term results of the Argus-T sling on incontinence rates, patient's quality of life and tape-related complications. Methods: Patients were eligible if persistent stress incontinence was present ≥12 months after radical prostatectomy. Measurements included 24 h frequency volume micturition list, 24 h pad test, 24 h pad count and quality of life questionnaires. Argus-T adjustable sling was placed with a single perineal route incision approach. Results: Seventy-eight patients were included, 69 ± 6 years, pre-intervention 24 h urinary loss 212 (75-385) g. Directly after surgery, 63.6% of the patients was completely dry, 79.2% of the patients reported greater than 90% improvement of their urinary loss and 92.2% > 50% improvement. Median followup time was 3.2 (2.5-6.1) years. After 5 years of follow-up, 53.3% of the patients were completely dry, 71.5% reported an improvement greater than 90% and 79.6% reported an improvement of greater than 50%. Patients with preoperative urinary loss less than 250 g reported significantly higher improvement of their urinary loss compared to patients with urinary loss ≥250 g (p = .02). Patients satisfaction was still increased after 5 years follow-up (70 ± 21 vs.16 ± 9, p < .001) and patients quality of life remained high (85 ± 20 vs. 88 ± 13, p = .1). Complications were mainly observed directly after surgery. Two patients (2.6%) needed reimplantation of the sling. Conclusion: These data indicate that Argus-T sling is an effective treatment option in obtaining substantial long-term incontinence relief in patients with invalidating moderate stress urinary incontinence after radical prostatectomy.

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Section: Discussionmentioning

confidence: 90%

“…Up to now several studies investigated the effect of Argus‐T sling on urinary incontinence after radical prostatectomy 6,8,9,16 . All authors found a significant improvement regarding daily urinary loss.…”

Section: Discussionmentioning

confidence: 99%

Argus‐T adjustable male sling: A follow‐up study on urinary incontinence and patient's satisfaction

Casteleijn

Cornel

2021

Neurourology and Urodynamics

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“…In a meta-analysis of data from 1919 patients from 29 studies, some slings appeared to be more effective and resulted in fewer explanations when treating post-prostatectomy incontinence [ 90 ]. Other studies compared other implants and reported on low incontinence and explanation rates as well [ 91 ]. In summary, adjustable ligaments offer patients the option of adaptation in the longer term; however, compared to artificial sphincters, the data are sparse, and comparative studies are pending.…”

Section: Surgical Treatment Of Stress Urinary Incontinencementioning

confidence: 99%

Stress Urinary Incontinence: An Unsolved Clinical Challenge

Harland,

Walz,

Eberli

et al. 2023

Biomedicines

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Stress urinary incontinence is still a frequent problem for women and men, which leads to pronounced impairment of the quality of life and withdrawal from the social environment. Modern diagnostics and therapy improved the situation for individuals affected. But there are still limits, including the correct diagnosis of incontinence and its pathophysiology, as well as the therapeutic algorithms. In most cases, patients are treated with a first-line regimen of drugs, possibly in combination with specific exercises and electrophysiological stimulation. When conservative options are exhausted, minimally invasive surgical therapies are indicated. However, standard surgeries, especially the application of implants, do not pursue any causal therapy. Non-absorbable meshes and ligaments have fallen into disrepute due to complications. In numerous countries, classic techniques such as colposuspension have been revived to avoid implants. Except for tapes in the treatment of stress urinary incontinence in women, the literature on randomized controlled studies is insufficient. This review provides an update on pharmacological and surgical treatment options for stress urinary incontinence; it highlights limitations and formulates wishes for the future from a clinical perspective.

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“…Published literature showed the Argus MS to be relatively effective and many patients (up to a third) will require sling readjustment. [8][9][10] However, complications such as sling erosion or infection are not uncommon and the device explantation rate remains quite high (up to 16%). [11][12][13][14][15] Remeex sling (Neomedic, Barcelona, Spain) Manufacturer and device specifications.…”

Section: Surgical Techniques and Clinical Outcomesmentioning

confidence: 99%

Contemporary male slings for stress urinary incontinence: advances in device technology and refinements in surgical techniques

Chung

2023

Therapeutic Advances in Urology

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Synthetic male sling (MS) is considered an effective surgical treatment to restore male stress urinary incontinence. The modern MS can be categorised into adjustable or non-adjustable types, while the surgical techniques can be divided into retropubic or transobturator approaches. This narrative review paper evaluates the contemporary MS devices in the current commercial market regarding clinical outcomes and refinements in surgical techniques. Scientific advances in device design and technology, coupled with further surgical refinements will enhance the clinical outcomes and improve the safety profile of MS surgery. The newer generation of modern MS not only provides direct compression of the bulbar urethra but also allows for proximal urethral relocation by realigning the mobile sphincter complex to provide further urethral sphincter complex coaptation. Strict patient selection, use of MS with proven clinical records, adherence to safe surgical principles and judicious postoperative care are critical to ensure a high continence rate, good patient satisfaction and low postoperative complications.

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Retropubic vs transobturator Argus adjustable male sling: Results from a multicenter study

Cited by 9 publications

References 15 publications

Argus‐T adjustable male sling: A follow‐up study on urinary incontinence and patient's satisfaction

Argus‐T adjustable male sling: A follow‐up study on urinary incontinence and patient's satisfaction

Stress Urinary Incontinence: An Unsolved Clinical Challenge

Contemporary male slings for stress urinary incontinence: advances in device technology and refinements in surgical techniques

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