Surgical technique using AdVance™ Sling placement in the treatment of post-prostatectomy urinary incontinence
OBJECTIVES: To describe and illustrate a new minimally invasive approach to the treatment of male stress urinary incontinence following prostatectomy. SURGICAL TECHNIQUE: Our initial experience consisted of four patients treated with the Advance sling for post-prostatectomy urinary incontinence. Sli...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sociedade Brasileira de Urologia
2007-04-01
|
| Series: | International Brazilian Journal of Urology |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382007000200015 |
| _version_ | 1811241850184400896 |
|---|---|
| author | David E. Rapp W. Stuart Reynolds Alvaro Lucioni Gregory T. Bales |
| author_facet | David E. Rapp W. Stuart Reynolds Alvaro Lucioni Gregory T. Bales |
| author_sort | David E. Rapp |
| collection | DOAJ |
| description | OBJECTIVES: To describe and illustrate a new minimally invasive approach to the treatment of male stress urinary incontinence following prostatectomy. SURGICAL TECHNIQUE: Our initial experience consisted of four patients treated with the Advance sling for post-prostatectomy urinary incontinence. Sling placement involves the following steps: 1. Urethral dissection and mobilization, 2. Identification of surgical landmarks, 3. Placement of needle passers through the obturator foramen, 4. Mesh advancement, 5. Mesh tensioning and fixation, 6. Incision closure. COMMENTS: Based on our initial experience, we believe that the Advance Male Sling System may be a safe technique for the treatment of male stress urinary incontinence. This technique is easy to perform and may offer a reproducible, transobturator approach. Further patient accrual is ongoing to assess the safety and reproducibility of this technique. Also, additional study will focus on efficacy standards and complication rates. |
| first_indexed | 2024-04-12T13:43:20Z |
| format | Article |
| id | doaj.art-cab894b3a33d491285d99da4d0954f37 |
| institution | Directory Open Access Journal |
| issn | 1677-5538 1677-6119 |
| language | English |
| last_indexed | 2024-04-12T13:43:20Z |
| publishDate | 2007-04-01 |
| publisher | Sociedade Brasileira de Urologia |
| record_format | Article |
| series | International Brazilian Journal of Urology |
| spelling | doaj.art-cab894b3a33d491285d99da4d0954f372022-12-22T03:30:47ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-55381677-61192007-04-0133223123710.1590/S1677-55382007000200015Surgical technique using AdVance™ Sling placement in the treatment of post-prostatectomy urinary incontinenceDavid E. RappW. Stuart ReynoldsAlvaro LucioniGregory T. BalesOBJECTIVES: To describe and illustrate a new minimally invasive approach to the treatment of male stress urinary incontinence following prostatectomy. SURGICAL TECHNIQUE: Our initial experience consisted of four patients treated with the Advance sling for post-prostatectomy urinary incontinence. Sling placement involves the following steps: 1. Urethral dissection and mobilization, 2. Identification of surgical landmarks, 3. Placement of needle passers through the obturator foramen, 4. Mesh advancement, 5. Mesh tensioning and fixation, 6. Incision closure. COMMENTS: Based on our initial experience, we believe that the Advance Male Sling System may be a safe technique for the treatment of male stress urinary incontinence. This technique is easy to perform and may offer a reproducible, transobturator approach. Further patient accrual is ongoing to assess the safety and reproducibility of this technique. Also, additional study will focus on efficacy standards and complication rates.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382007000200015prostatectomyurinary incontinencestressprostheses and implantssuburethral slings |
| spellingShingle | David E. Rapp W. Stuart Reynolds Alvaro Lucioni Gregory T. Bales Surgical technique using AdVance™ Sling placement in the treatment of post-prostatectomy urinary incontinence International Brazilian Journal of Urology prostatectomy urinary incontinence stress prostheses and implants suburethral slings |
| title | Surgical technique using AdVance™ Sling placement in the treatment of post-prostatectomy urinary incontinence |
| title_full | Surgical technique using AdVance™ Sling placement in the treatment of post-prostatectomy urinary incontinence |
| title_fullStr | Surgical technique using AdVance™ Sling placement in the treatment of post-prostatectomy urinary incontinence |
| title_full_unstemmed | Surgical technique using AdVance™ Sling placement in the treatment of post-prostatectomy urinary incontinence |
| title_short | Surgical technique using AdVance™ Sling placement in the treatment of post-prostatectomy urinary incontinence |
| title_sort | surgical technique using advance 8482 sling placement in the treatment of post prostatectomy urinary incontinence |
| topic | prostatectomy urinary incontinence stress prostheses and implants suburethral slings |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382007000200015 |
| work_keys_str_mv | AT daviderapp surgicaltechniqueusingadvance8482slingplacementinthetreatmentofpostprostatectomyurinaryincontinence AT wstuartreynolds surgicaltechniqueusingadvance8482slingplacementinthetreatmentofpostprostatectomyurinaryincontinence AT alvarolucioni surgicaltechniqueusingadvance8482slingplacementinthetreatmentofpostprostatectomyurinaryincontinence AT gregorytbales surgicaltechniqueusingadvance8482slingplacementinthetreatmentofpostprostatectomyurinaryincontinence |