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Functional follow‑up after Advance ® and Advance XP ® male sling surgery: assessment of predictive factors
dc.contributor.author | Collado, Argimiro | |
dc.contributor.author | Domínguez‑Escrig, José | |
dc.contributor.author | Ortiz Rodríguez, Isabel María | |
dc.contributor.author | Ramirez‑Backhaus, Miguel | |
dc.contributor.author | Rodríguez Torreblanca, Carmelo | |
dc.contributor.author | Rubio‑Briones, José | |
dc.date.accessioned | 2024-01-31T09:52:39Z | |
dc.date.available | 2024-01-31T09:52:39Z | |
dc.date.issued | 2019 | |
dc.identifier.issn | 0724-4983 | |
dc.identifier.uri | http://hdl.handle.net/10835/15621 | |
dc.description.abstract | Purpose: To evaluate the efficacy of the Advance® and AdvanceXP® slings in men with stress urinary incontinence (SUI) post-radical prostatectomy and to identify predictive factors for outcome. Methods: Included were male patients with SUI following radical prostatectomy who had a positive “repositioning test”, 24 h-pad weight (PW) test < 400 g and who were continent at night and at rest. Urgency was defined as a sudden compelling desire to pass urine, which was difficult to defer. The cure rate was defined as no pad use. Results: From February 2008 to October 2014, 24 AdVance® and 70 AdVance XP® were implanted. The median (range) follow-up was 49 (12–102) months. The overall cure rate was 77%. The preoperative 24 h PW was significantly related to the continence outcome (p = 0.044). A total of 12 patients (13%) presented with postoperative AUR, which was significantly related to abnormal voiding detrusor activity (p = 0.036). Twenty-two patients (23%) had postoperative urgency (16% “de novo”), which was significantly related to preoperative urgency (p = 0.003). During follow-up, a degree of deterioration of continence was observed in five patients who were classed as cured initially. To date, no reports of urethral sling erosion have been made. Conclusions: The AdVance® and AdVanceXP® slings are safe and effective in relieving SUI following post-radical prostatectomy. There were no differences between the two slings in terms of efficacy, urgency or postoperative AUR. There was a moderate rate of “de novo “urgency and low rate of loss of continence during follow-up. | es_ES |
dc.language.iso | en | es_ES |
dc.subject | Incontinence | es_ES |
dc.subject | Radical prostatectomy | es_ES |
dc.subject | Advance® sling | es_ES |
dc.subject | Urgency | es_ES |
dc.subject | Acute urinary retention | es_ES |
dc.title | Functional follow‑up after Advance ® and Advance XP ® male sling surgery: assessment of predictive factors | es_ES |
dc.type | info:eu-repo/semantics/article | es_ES |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es_ES |
dc.identifier.doi | 10.1007/s00345-018-2357-9 |