Efficacy and Complications of the Re-Adjustable Male Sling System for Stress Urinary Incontinence after Radical Prostatectomy
The aim of this study was to investigate the outcomes of re-adjustable male slings in pa-tients with postoperative stress urinary incontinence (SUI) following radical prostatectomy (RP). We retrospectively analyzed 18 patients with SUI following RP for prostate cancer, who were treated with re-adjus...
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MDPI AG
2022-11-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/22/6764 |
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| author | Liang-Wei Chiu Wen-Chi Chen Po-Fan Hsieh Yung-Hsiang Chen Chi-Ping Huang |
| author_facet | Liang-Wei Chiu Wen-Chi Chen Po-Fan Hsieh Yung-Hsiang Chen Chi-Ping Huang |
| author_sort | Liang-Wei Chiu |
| collection | DOAJ |
| description | The aim of this study was to investigate the outcomes of re-adjustable male slings in pa-tients with postoperative stress urinary incontinence (SUI) following radical prostatectomy (RP). We retrospectively analyzed 18 patients with SUI following RP for prostate cancer, who were treated with re-adjustable male slings from January 2016 to December 2021. The clinical outcomes were evaluated based on daily pad usage and urodynamic studies, both preoperatively and post-operatively. The degree of SUI was categorized as either mild, moderate, or severe. Success was defined as no more pad use or significantly decreased pad use. Complications were classified ac-cording to the Clavien–Dindo system. The mean age of patients was 70.4 ± 5.9 years, and 61.1% of cases were diagnosed as locally advanced prostate cancer. Mild, moderate, and severe SUI were reported as 33.3%, 50.0%, and 16.7%, respectively. The average daily pad use after RP was 3.3 pads and there was a significant reduction in the number of daily pads used after the re-adjustable male sling procedure (3.3 vs. 1.3; <i>p</i> = 0.002). Overall, the operation was considered successful in 11 pa-tients (61.1%), 1 case showed improvement (5.6%), and it was considered unsuccessful in 6 patients (33.3%). Impressively, in the severe incontinence subgroup (three patients), one (33.3%) had im-provement and one (33.3%) had success. Transient perineal discomfort after the operation was the most common complaint. However, two patients had severe complications with bowel injury during sling implantation (Clavien–Dindo grade III). The re-adjustable male sling system was an efficient surgical treatment option for post-RP SUI, even in a locally advanced disease dominant population. One should pay attention to the complication of bowel perforation during surgery. |
| first_indexed | 2024-03-09T18:14:29Z |
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| language | English |
| last_indexed | 2024-03-09T18:14:29Z |
| publishDate | 2022-11-01 |
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| series | Journal of Clinical Medicine |
| spelling | doaj.art-274fa95b7ea94167a4a11d8f34e876bd2023-11-24T08:49:44ZengMDPI AGJournal of Clinical Medicine2077-03832022-11-011122676410.3390/jcm11226764Efficacy and Complications of the Re-Adjustable Male Sling System for Stress Urinary Incontinence after Radical ProstatectomyLiang-Wei Chiu0Wen-Chi Chen1Po-Fan Hsieh2Yung-Hsiang Chen3Chi-Ping Huang4Department of Urology, China Medical University Hospital, Taichung 40447, TaiwanDepartment of Urology, China Medical University Hospital, Taichung 40447, TaiwanDepartment of Urology, China Medical University Hospital, Taichung 40447, TaiwanGraduate Institute of Integrated Medicine, College of Chinese Medicine, China Medical University, Taichung 40402, TaiwanDepartment of Urology, China Medical University Hospital, Taichung 40447, TaiwanThe aim of this study was to investigate the outcomes of re-adjustable male slings in pa-tients with postoperative stress urinary incontinence (SUI) following radical prostatectomy (RP). We retrospectively analyzed 18 patients with SUI following RP for prostate cancer, who were treated with re-adjustable male slings from January 2016 to December 2021. The clinical outcomes were evaluated based on daily pad usage and urodynamic studies, both preoperatively and post-operatively. The degree of SUI was categorized as either mild, moderate, or severe. Success was defined as no more pad use or significantly decreased pad use. Complications were classified ac-cording to the Clavien–Dindo system. The mean age of patients was 70.4 ± 5.9 years, and 61.1% of cases were diagnosed as locally advanced prostate cancer. Mild, moderate, and severe SUI were reported as 33.3%, 50.0%, and 16.7%, respectively. The average daily pad use after RP was 3.3 pads and there was a significant reduction in the number of daily pads used after the re-adjustable male sling procedure (3.3 vs. 1.3; <i>p</i> = 0.002). Overall, the operation was considered successful in 11 pa-tients (61.1%), 1 case showed improvement (5.6%), and it was considered unsuccessful in 6 patients (33.3%). Impressively, in the severe incontinence subgroup (three patients), one (33.3%) had im-provement and one (33.3%) had success. Transient perineal discomfort after the operation was the most common complaint. However, two patients had severe complications with bowel injury during sling implantation (Clavien–Dindo grade III). The re-adjustable male sling system was an efficient surgical treatment option for post-RP SUI, even in a locally advanced disease dominant population. One should pay attention to the complication of bowel perforation during surgery.https://www.mdpi.com/2077-0383/11/22/6764male slingprostate cancerradical prostatectomystress urinary incontinence |
| spellingShingle | Liang-Wei Chiu Wen-Chi Chen Po-Fan Hsieh Yung-Hsiang Chen Chi-Ping Huang Efficacy and Complications of the Re-Adjustable Male Sling System for Stress Urinary Incontinence after Radical Prostatectomy Journal of Clinical Medicine male sling prostate cancer radical prostatectomy stress urinary incontinence |
| title | Efficacy and Complications of the Re-Adjustable Male Sling System for Stress Urinary Incontinence after Radical Prostatectomy |
| title_full | Efficacy and Complications of the Re-Adjustable Male Sling System for Stress Urinary Incontinence after Radical Prostatectomy |
| title_fullStr | Efficacy and Complications of the Re-Adjustable Male Sling System for Stress Urinary Incontinence after Radical Prostatectomy |
| title_full_unstemmed | Efficacy and Complications of the Re-Adjustable Male Sling System for Stress Urinary Incontinence after Radical Prostatectomy |
| title_short | Efficacy and Complications of the Re-Adjustable Male Sling System for Stress Urinary Incontinence after Radical Prostatectomy |
| title_sort | efficacy and complications of the re adjustable male sling system for stress urinary incontinence after radical prostatectomy |
| topic | male sling prostate cancer radical prostatectomy stress urinary incontinence |
| url | https://www.mdpi.com/2077-0383/11/22/6764 |
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