title: Single institution experience with the transobturator sling suspension system AdVance® in the treatment of male urinary incontinence: mid-term results.
abstract: OBJECTIVE
  To evaluate the clinical outcome after placement of AdVance® sling in men with stress urinary incontinence after prostate surgery.
  
  
  METHODS
  Incontinence was assessed on basis of number of pad usage. Patients' satisfaction was evaluated using a non-validated patient questionnaire at 12 months post-operatively.
  
  
  RESULTS
  Incontinence cure rate (no pad usage) was 61.5% (16/26) and improvement (1-2 pads per day) was seen in 26.9% (7/26). No improvement was observed in 11.5% (3/26) of patients. A total of 87.5% (21/24) of patients were very satisfied with the operation 22 months after surgery. Success rate in patients with prior radiation therapy (20% cure; 40% improvement) was significantly worse.
  
  
  CONCLUSIONS
  Placement of the AdVance® sling represents an effective and safe treatment option for patients with post prostate surgery incontinence. Patients that underwent radiotherapy after prostate surgery had lower success rate.
authors: Department of Urology, Academic Teaching Hospital Feldkirch, Austria. andreas.p.berger@gmx.at
authors: Andreas P
authors: AP
authors: Berger
authors: Alexander
authors: A
authors: Strasak
authors: Christian
authors: C
authors: Seitz
authors: Patrick
authors: P
authors: Rein
authors: Alfred
authors: A
authors: Hobisch
mesh_terms: D000368:Aged; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011183:Postoperative Complications; D011467:Prostate / Q000601:surgery*; D011468:Prostatectomy / Q000009:adverse effects*; D012189:Retrospective Studies; D018709:Statistics, Nonparametric; D053825:Suburethral Slings; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*