| The 1 year outcome of the transobturator retroluminal repositioning sling in the treatment of male stress urinary incontinence. | |
| | |
MedLine Citation:
|
PMID: 20518761 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To evaluate the efficacy and safety of a transobturator retroluminal repositioning sling suspension in the treatment of male stress urinary incontinence (SUI) after prostate surgery. PATIENTS AND METHODS: In 118 men with SUI after prostatic surgery, a transobturator retroluminal repositioning sling suspension was implanted. Patients were evaluated including: complete history and physical examination, 24-h pad test, a questionnaire (International Consultation on Incontinence Questionnaire, Short-Form), urodynamic evaluation and endoscopy. The surgical technique was described previously. The findings before and at 1 year after sling placement were compared. RESULTS: At the 12-month follow-up, 73.7% of the men were cured, 16.9% were improved, and 9.3% were still incontinent. After sling placement the daily pad use decreased significantly (P < 0.001), while the ICIQ-SF improved significantly (P < 0.01). The detrusor voiding pressure, postvoid residual urine volume and maximal flow rates remained unchanged, while the Valsalva leak-point pressure improved significantly (P < 0.01). In 19.5% of the men, there was transient scrotal pain or perineal discomfort. In 5.1% of the men, postoperative urinary retention occurred but resolved spontaneously after a few weeks of catheter placement. In 1.7% of the men adductor pain was reported, which resolved spontaneously. There were no major complications. CONCLUSION: The transobturator retroluminal repositioning sling suspension for the treatment of male SUI is effective and safe with a low complication rate after 1 year of follow-up. |
| | |
Authors:
|
Peter Rehder; Michael J Mitterberger; Renate Pichler; Andrea Kerschbaumer; Bernhard Glodny |
Publication Detail:
|
Type: Evaluation Studies; Journal Article |
Journal Detail:
|
Title: BJU international Volume: 106 ISSN: 1464-410X ISO Abbreviation: BJU Int. Publication Date: 2010 Dec |
Date Detail:
|
Created Date: 2010-11-16 Completed Date: 2011-01-04 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 100886721 Medline TA: BJU Int Country: England |
Other Details:
|
Languages: eng Pagination: 1668-72 Citation Subset: IM |
Copyright Information:
|
© 2010 THE AUTHORS. JOURNAL COMPILATION © 2010 BJU INTERNATIONAL. |
Affiliation:
|
Department of Urology, Medical University Innsbruck, Innsbruck, Austria. peter.rehder@i-med.ac.at |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Epidemiologic Methods Humans Male Middle Aged Prostatectomy / adverse effects* Prostatic Neoplasms / complications, surgery* Quality of Life Suburethral Slings* / adverse effects Treatment Outcome Urinary Incontinence, Stress / etiology, surgery* Urodynamics |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Late morbidity and oncological outcome after radical hypofractionated radiotherapy in men with prost...
Next Document: Unrecognized bladder perforation with mid-urethral slings.