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Incontinence

Rehder P, Haab F, Cornu JN et al.

Ludwig-Maximilian-University, Munich, Germany.

 Eur Urol 2012;62:140–5.

Editor’s note: Male stress urinary incontinence (SUI) is a well-described complication of radical prostatectomy, transurethral prostatectomy, and open adenectomy. In many cases of SUI, patients fail to achieve continence with conservative treatment alone. In these cases, bulking agents, a sling system, or an artificial urethral sphincter (AUS) may be considered. The short- and long-term success of tension-free tapes in the management of female SUI has supported the development of slings for the treatment of male SUI. Male slings have evolved since the original transobturator sling introduced in 2006; unlike these original devices, modern slings avoid urethral compression but provide support to the distal urethral sphincter, causing realignment of the urethral sphincter complex. Male slings remain in their relative infancy and long-term outcome data are scarce. The authors of this prospective study report 3-year follow-up data of a large series of male SUI patients treated with the AdVance™ male sling (American Medical Systems Inc., Minnetonka, MN, USA).

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