title: Impact of the 'repositioning test' on postoperative outcome of retroluminar transobturator male sling implantation.
abstract: OBJECTIVE
  To evaluate prospectively the value of the 'repositioning test' (RT) in preoperative patient selection for the efficacy of male stress urinary incontinence (SUI) treatment using a retroluminar transobturator male sling (AdVance sling).
  
  
  METHODS
  65 consecutive patients with SUI after radical prostatectomy were included in this single-center prospective study. Preoperatively, patients were classified into those with 'positive' and 'negative' RT. Postoperative results were analyzed and the association between the result of the RT and postoperative outcome was evaluated.
  
  
  RESULTS
  53 patients (81.5%) showed preoperatively a positive RT and 12 patients (18.5%) a negative RT. After a follow-up of 12 months, patients with positive RT showed a cure rate (0 pads/day) of 83% and patients with a negative RT showed only a cure rate of 25%. A positive RT significantly correlated with cure in outcome (p < 0.001).
  
  
  CONCLUSIONS
  Patients with positive RT have a significantly better chance for successful AdVance sling implantation. The RT is minimally invasive, easy to learn and easy to perform. Therefore, the RT is a very useful tool for preoperative patient selection.
authors.affiliation: Department of Urology, Ludwig Maximilian University, Munich, Germany. ricarda.bauer@med.uni-muenchen.de
authors.forename: Ricarda M
authors.initials: RM
authors.lastname: Bauer
authors.forename: Christian
authors.initials: C
authors.lastname: Gozzi
authors.forename: Alexander
authors.initials: A
authors.lastname: Roosen
authors.forename: Wael
authors.initials: W
authors.lastname: Khoder
authors.forename: Matthias
authors.initials: M
authors.lastname: Trottmann
authors.forename: Raphaela
authors.initials: R
authors.lastname: Waidelich
authors.forename: Christian G
authors.initials: CG
authors.lastname: Stief
authors.forename: Irina
authors.initials: I
authors.lastname: Soljanik
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003950:Diagnostic Techniques, Urological; D004724:Endoscopy; D005240:Feasibility Studies; D005858:Germany; D006801:Humans; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D011237:Predictive Value of Tests; D011300:Preoperative Care; D011446:Prospective Studies; D011468:Prostatectomy / Q000009:adverse effects; D053825:Suburethral Slings; D016896:Treatment Outcome; D014521:Urethra / Q000503:physiopathology / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000009:adverse effects / Q000295:instrumentation*