title: Surgical technique using AdVance sling placement in the treatment of post-prostatectomy urinary incontinence.
abstract: OBJECTIVE
  To describe and illustrate a new minimally invasive approach to the treatment of male stress urinary incontinence following prostatectomy.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Section of Urology, Department of Surgery, University of Chicago Pritzker School of Medicine, Chicago, Illinois 60637, USA. derapp@yahoo.com
authors.forename: David E
authors.initials: DE
authors.lastname: Rapp
authors.forename: W Stuart
authors.initials: WS
authors.lastname: Reynolds
authors.forename: Alvaro
authors.initials: A
authors.lastname: Lucioni
authors.forename: Gregory T
authors.initials: GT
authors.lastname: Bales
mesh_terms: D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000009:adverse effects*; D053825:Suburethral Slings; D013526:Surgical Mesh; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000209:etiology / Q000601:surgery*