title: Argus-T Adjustable Male Sling: The Influence of Surgical Technique on Complications and Short-Term Efficacy.
abstract: OBJECTIVE
  The study aims to investigate and evaluate the influence of 2 different methods of implantation of the Argus transobturator (Argus-T) adjustable male sling on complication rate and short-term efficacy.
  
  
  METHODS
  A prospective mono-center evaluation was conducted on consecutive patients treated for persistent post-radical prostatectomy incontinence. Thirty-six patients were implanted with the Argus-T adjustable male sling--18 by inguinal-perineal incision (IPI) and 18 by single-perineal incision (SPI). Measurements included 24-hour frequency volume micturition list, 24-hour pad test, 24-hour pad count, Visual Analogue Scale for continence and satisfaction, flowmetry and residual voided urine.
  
  
  RESULTS
  Cure rate for IPI and SPI at 1, 6 and 12 months was 67, 75, 62% and 59, 63, 63%, respectively (no statistically significant difference). Although more clinically significant complications were seen in the IPI group, a statistical significant difference was observed only for wound infection between the IPI and the SPI groups (33 vs. 0%, p = 0.019).
  
  
  CONCLUSIONS
  The Argus-T male sling SPI suspension operation is a minimally invasive and safe procedure for the management of male postoperative stress incontinence which is highly appreciated by the patients.
authors.affiliation: Department of Urology, Ziekenhuis Groep Twente Hengelo, Hengelo, The Netherlands.
authors.forename: Erik Bastiaan
authors.initials: EB
authors.lastname: Cornel
mesh_terms: D000368:Aged; D006801:Humans; D016496:Incontinence Pads; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000209:etiology; D011446:Prospective Studies; D011468:Prostatectomy / Q000009:adverse effects*; D011474:Prosthesis Design; D012074:Remission Induction; D012086:Reoperation; D053825:Suburethral Slings; D013997:Time Factors; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000503:physiopathology; D014549:Urinary Incontinence / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D014554:Urination; D014563:Urodynamics; D013521:Urologic Surgical Procedures, Male / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods*