Sling operation for male stress incontinence by utilizing modified stamey technique

Mizuo, Toshiyuki; Tanizawa, Akiko; Yamada, Terumasa; Ando, Masashi; Oshima, Hiroyuki

doi:10.1016/0090-4295(92)90291-4

Cited by 20 publications

(12 citation statements)

References 9 publications

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“…At a mean (range) follow-up of 7.5 (1-17.5) months, 35 (73%) of the 48 patients were dry, five (10%) were improved, and eight (17%) were incontinent, including four (8%) who needed sling adjustment. The mean (range) ICIQ-SF improved from 19.2 (12)(13)(14)(15)(16)(17)(18)(19)(20)(21) to 4 (0-21). There were three (6%) urethral perforations during surgery that were resolved by re-passing the needle.…”

Section: Resultsmentioning

confidence: 97%

An adjustable male sling for treating urinary incontinence after prostatectomy: a phase III multicentre trial

Romano¹,

et al. 2006

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attached to the silicone cone columns that, after being passed with needles from the perineum to the abdominal wall, are adjusted with silicone washers to regulate and keep the desired tension against the urethra. The pad and washers are radio-opaque, which allows their position to be assessed during followup. The surgical technique was one described previously, with some modifications. RESULTSAt a mean (range) follow-up of 7.5 (1-17.5) months, 35 (73%) of the 48 patients were dry, five (10%) were improved, and eight (17%) were incontinent, including four (8%) who needed sling adjustment. The mean (range) ICIQ-SF improved from 19.2 (12-21) to 4 (0-21). There were three (6%) urethral perforations during surgery that were resolved by re-passing the needle. The sling was removed in three men (6%) due to erosion and in two (4%) due to infection.Seven (15%) cases of acute urinary retention resolved spontaneously, except for one that needed the sling loosening. No cases of chronic retention were reported. There was perineal discomfort and mild dysuria soon after surgery that resolved spontaneously after a few weeks. CONCLUSIONThis new adjustable male sling safely and effectively controls sphincter incontinence in men after prostate surgery, with an acceptably low complication rate. The early results are encouraging; the Argus is a valid alternative to the artificial urinary sphincter, the standard therapy for this condition.

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Section: Resultsmentioning

confidence: 97%

An adjustable male sling for treating urinary incontinence after prostatectomy: a phase III multicentre trial

Romano¹,

et al. 2006

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“…Longterm continence rates approach 90% in this patient population [6]. Based on the success of sling procedures in women, a similar procedure has been devised for use in men with sphincter dysfunction following radical prostatectomy or transurethral resection of the prostate [7,8].…”

Section: Discussionmentioning

confidence: 99%

Readjustable Transobturator Sling: A Novel Sling Procedure for Male Urinary Incontinence

Palma

Dambros²,

Thiel³

et al. 2004

Urol Int

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Post-prostatectomy incontinence remains a significant problem for both patients and urologists. We report a case and the surgical technique of successful sling in the treatment of post-prostatectomy urinary incontinence. Sling surgery was performed on a 69-year-old male patient with severe urinary incontinence (6 pads/day) following radical prostatectomy. The procedure was conducted through the transobturator approach using a sling with a silicone foam pad to protect the urethra. At the 7-month follow-up the patient is using only 1 pad/day. We consider this operation an alternative to artificial urinary sphincter in cases of male sphincter incontinence.

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“…Finally, the risk of mechanical malfunction is minimized by the absence of a pump, fluid-filled chambers, and tubal connections. 14,15,20,21 Despite these advantages, slings have problems with either an excess of or inadequate tension, which produces voiding difficulties or persistent urinary leakage, respectively. Schaeffer et al 15 had to perform a total of 23 retightening procedures in 17 of their 64 patients (26.6%) to improve their success rates from 64% to 75%.…”

Section: F5mentioning

confidence: 99%

Externally Readjustable Sling for Treatment of Male Stress Urinary Incontinence: Points of Technique and Preliminary Results

Sousa-Escandón

Gómez²,

González³

et al. 2004

Journal of Endourology

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Background and Purpose: Slings have been successful in the treatment of male stress urinary incontinence (SUI). However, in many situations, the sling may have either an excess of or inadequate tension, producing voiding difficulties or urinary leakage, respectively. The effectiveness of a readjustable sling for the treatment of male SUI has been evaluated. Patients and Methods: Between October 2001 and November 2002, six consecutive male patients with SUI, aged 69 to 81 years, received a readjustable sling (Remeex®) at the Monforte Comarcal Hospital. Results: Five patients (83%) achieved continence, while the remaining patient showed important improvement. All patients were satisfied or very satisfied with the results. The average follow-up time was 18 months (range 12-50 months). There were no postoperative complications. Conclusions: This original treatment allows readjustment of the sling tension in the immediate or mid-term postoperative period. Initial clinical results are encouraging.

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Sling operation for male stress incontinence by utilizing modified stamey technique

Cited by 20 publications

References 9 publications

An adjustable male sling for treating urinary incontinence after prostatectomy: a phase III multicentre trial

An adjustable male sling for treating urinary incontinence after prostatectomy: a phase III multicentre trial

Readjustable Transobturator Sling: A Novel Sling Procedure for Male Urinary Incontinence

Externally Readjustable Sling for Treatment of Male Stress Urinary Incontinence: Points of Technique and Preliminary Results

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