title: The advance transobturator male sling for post-prostatectomy incontinence: subjective and objective outcomes with 3 years follow up.
abstract: OBJECTIVE
  To determine patient-perceived and clinical outcomes of the AdVance sling at 3 years follow-up in men with post-prostatectomy incontinence (PPI).
  
  
  METHODS
  Data was prospectively collected of men with PPI treated with the AdVance male sling between February 2008 and March 2010. Twenty-four-hour pad counts and weights and patient completed validated questionnaires were obtained pre-operatively and at 3 years. The primary outcome was improvement in pad count with secondary outcomes of questionnaire scores and patient perception of success.
  
  
  RESULTS
  At a median follow-up of 39 months (IQR: 36-44), we identified 30 men meeting inclusion criteria who had the AdVance male sling placed for mild to severe PPI. Eighteen (60%) patients were cured (no pad usage or one pad for security) and an additional 4 (13%) showed improvement (≥50% reduction in pad usage). Eight (27%) patients failed: six patients underwent seven salvage procedures including urethral bulking with collagen (n = 1), Virtue perineal sling (n = 1), and artificial urinary sphincter (n = 5). There were 16 post-operative complications: 13 Clavien I, 2 Clavien II, and 1 Clavien IIIb.
  
  
  CONCLUSIONS
  AdVance male sling is an effective treatment option for PPI evidenced by objective improvements in 24-hr pad count and pad weight and patient perceived success via validated questionnaires.
authors: Lahey Hospital & Medical Center, Institute of Urology, Burlington, Massachusetts.
authors: Casey G
authors: CG
authors: Kowalik
authors: Jessica M
authors: JM
authors: DeLong
authors: Arthur P
authors: AP
authors: Mourtzinos
mesh_terms: D000368:Aged; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011446:Prospective Studies; D011468:Prostatectomy / Q000009:adverse effects*; D053825:Suburethral Slings; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000209:etiology* / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000295:instrumentation
keywords: male urethral sling; quality of life; urinary incontinence