The 1 year outcome of the transobturator retroluminal repositioning sling in the treatment of male stress urinary incontinence.
| Autor: | Rehder P; Department of Urology, Medical University Innsbruck, Innsbruck, Austria. peter.rehder@i-med.ac.at, Mitterberger MJ, Pichler R, Kerschbaumer A, Glodny B |
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| Jazyk: | angličtina |
| Zdroj: | BJU international [BJU Int] 2010 Dec; Vol. 106 (11), pp. 1668-72. |
| DOI: | 10.1111/j.1464-410X.2010.09400.x |
| Abstrakt: | 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. (© 2010 THE AUTHORS. JOURNAL COMPILATION © 2010 BJU INTERNATIONAL.) |
| Databáze: | MEDLINE |
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