title: Adjustable versus non-adjustable male sling for post-prostatectomy urinary incontinence: A prospective clinical trial comparing patient choice, clinical outcomes and satisfaction rate with a minimum follow up of 24 months.
abstract: OBJECTIVE
  To review the patient choice, clinical outcomes and satisfaction rate between adjustable and non-adjustable male sling (MS) with a minimum follow up of 24 months.
  
  
  METHODS
  A prospective review of clinical parameters in all male patients who underwent MS surgery between January 2009 and December 2011 was undertaken. Validated instruments were utilized in the follow-up survey.
  
  
  RESULTS
  A total of 44 MS were inserted with 25 men choosing adjustable Argus (Promedon, Cordoba, Argentina) and 19 men received non-adjustable AdVance (American Medical Systems, Minnetonka, MN) MS. The mean age and follow-up for men in the Argus group were 65.4 years and 36.2 months, and in AdVance group were 63.8 years and 33.1 months. Revision surgery was performed in six Argus MS for recurrent urinary incontinence. Social continence (defined as 0 to 1 urinary pad use) was achieved in 23 patients (92%) with Argus MS and 16 patients (84%) with AdVance MS (P = 0.45). The overall satisfaction rate on a 5-point scale was 4.5 in Argus and 4.3 in AdVance patients, and there was no significant difference in the PGI-I score between the two groups (P = 0.36). Kaplan-Meier analysis of urinary continence and patient satisfaction rates were not statistically significant between Argus and AdVance slings (P = 0.76 and P = 0.38).
  
  
  CONCLUSIONS
  Given the choice between the two types of MS, more men chose adjustable Argus over non-adjustable AdVance sling. There was no significant difference in the clinical outcome, social continence and overall patient satisfaction rates between the two types of MS in the short term. Neurourol. Urodynam. 35:482-486, 2016. © 2015 Wiley Periodicals, Inc.
authors: Department of Urology, University of Queensland, Princess Alexandra Hospital, Brisbane QLD, Australia.|St. Andrew's Pelvic Medicine Centre, St. Andrew's War Memorial Hospital, Brisbane QLD, Australia.
authors: Eric
authors: E
authors: Chung
authors: Department of Urology, University of Queensland, Princess Alexandra Hospital, Brisbane QLD, Australia.
authors: Philip
authors: P
authors: Smith
authors: Department of Urology, University of Queensland, Princess Alexandra Hospital, Brisbane QLD, Australia.
authors: Gregory
authors: G
authors: Malone
authors: Department of Urology, University of Queensland, Princess Alexandra Hospital, Brisbane QLD, Australia.
authors: Ross
authors: R
authors: Cartmill
mesh_terms: D000368:Aged; D003657:Decision Making; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D011446:Prospective Studies; D011468:Prostatectomy / Q000009:adverse effects*; D053825:Suburethral Slings; D013997:Time Factors; D014549:Urinary Incontinence / Q000209:etiology / Q000601:surgery*
keywords: AdVance sling; Argus sling; clinical outcomes; male sling; patient satisfaction rate