Surgery for urinary incontinence due to presumed sphincter deficiency after prostate surgery

Silva, Laercio A; Andriolo, Régis B; Atallah, Álvaro Nagib; Silva, Edina MK da

doi:10.1002/14651858.cd008306

Cited by 3 publications

(2 citation statements)

References 33 publications

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“…However, the assessment phase has struggled to provide an evidence‐based approach for the use of male slings. A Cochrane systematic review protocol has been opened on the surgical treatment of PPI (including male slings), but results are not yet available [92]. Surgical investigators have always found it challenging to randomize patients, conceal allocation, obtain suitable sample sizes, and standardize surgical technique.…”

Section: Discussionmentioning

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: Discussionmentioning

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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“…Considerable commitment has been required from potential recipients, success has been far from guaranteed and complication rates have been relatively high. [22][23][24][25] The use of artificial sphincters and neurological stimulation implants for faecal incontinence has had similarly mixed success. 26,27 That may be set to change, and medical engineers or designers working in the area have a critical role to play in product innovation.…”

Section: Non-absorbent Productsmentioning

confidence: 99%

User perspectives, preferences and priorities relating to products for managing bladder and bowel dysfunctions

Buckley

2017

Proc Inst Mech Eng H

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A great many people of all ages around the world cannot fully control their bladder or bowel, or both. Either in the short or long term, they rely upon products and devices to manage the emptying of their bladders and bowels and to collect, absorb and contain leaked urine or faeces. The incontinence product market is large and growing, and ongoing developments in materials and technologies should lead to improvements in these products and devices. Engineers and designers who work in this field - or who plan to do so - need to recognise the breadth of factors that affects the effectiveness and acceptability of products. The primary functions of products for managing bladder and bowel dysfunctions are the collection and containment of urine or faeces - and the associated engineering and design challenges may be considered in terms of flow rates and volumes and methods of acquisition and containment. But products will fail if they do not take into account other factors, some of which relate less directly to these primary functions and some not at all. This article aims to highlight the product characteristics that are most important to the people who use them, and areas where user-centred innovation and development may lead to improvements.

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Risk Factors for Male Slings: A Comparative Study of Two Techniques

Crites

Sorial

Ghoniem

2011

Urology

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Surgery for urinary incontinence due to presumed sphincter deficiency after prostate surgery

Cited by 3 publications

References 33 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

User perspectives, preferences and priorities relating to products for managing bladder and bowel dysfunctions

Risk Factors for Male Slings: A Comparative Study of Two Techniques

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