title: [Male stress urinary incontinence by InVance bone anchored sub-urethral sling: Predictive factors of treatment failure: Multicentric study by the CTMH-AFU].
abstract: OBJECTIVE
  To define predictive factors of treatment failure in a multicentric study for the treatment of stress male urinary incontinence by InVance (American Medical System, USA) bone anchored sub-urethral sling.
  
  
  METHODS
  Cases treated by InVance between January 2005 and December 2007 in four French academic centers were collected.
  
  
  RESULTS
  Eighty-four patients were evaluated. Mean age was 68 years old. With a mean follow-up of 20 months, 38 patients (45%) were dry, 22 (26%) were improved, and 24 (29%) suffered treatment failure. In univariate analysis, three parameters were significantly associated with treatment failure, including severe urinary incontinence (P=0.005), urodynamic instability (P=0.043), and incontinence due to a bitherapy including external radiotherapy (P=0.031). If zero or one versus two or three risk factors were present, treatment failure rate was 25 and 67%, respectively (P=0.013). In multivariate analysis, bitherapy including radiotherapy was the sole independent treatment failure risk factor (P=0.017).
  
  
  CONCLUSIONS
  Two patient groups were defined, allowing to determine preoperatively good candidates and bad candidates for stress urinary incontinence treatment by InVance sling.
authors: Service d'urologie, hôpital Dupuytren, CHU de Limoges, 2, avenue Martin-Luther-King, 87000 Limoges, France.
authors: M
authors: M
authors: Lanoe
authors: C
authors: C
authors: Saussine
authors: P
authors: P
authors: Mouracade
authors: A R
authors: AR
authors: Azzouzi
authors: M
authors: M
authors: Devonec
authors: A
authors: A
authors: Ruffion
authors: G
authors: G
authors: Robert
authors: A
authors: A
authors: de la Taille
authors: A
authors: A
authors: Descazeaud
mesh_terms: D000368:Aged; D006801:Humans; D008297:Male; D012307:Risk Factors; D053825:Suburethral Slings; D017211:Treatment Failure; D014550:Urinary Incontinence, Stress / Q000601:surgery*