Argus T® versus Advance® Sling for postprostatectomy urinary incontinence: A randomized clinical trial.
OBJECTIVE
To compare the results of two slings, Argus T® and Advance®, for the treatment of postprostatectomy urinary incontinence (PPUI).


METHODS
From December 2010 to December 2011, 22 patients with PPUI were randomized as follows: 11 (mean age 62.09(±5.30)) underwent treatment with Advance® and 11 (mean age 62.55(±8.54)) with Argus T®. All patients were evaluated preoperatively with urodynamic testing, quality of life questionnaire (ICIQ-SF), voiding diary and 24-hour pad test. Exclusion criteria were: neurological diseases, severe detrusor overactivity and urethral stenosis. Evaluation was performed at 6, 12 and 18 months after the surgery. After implantation of the Argus T® sling, patients who experienced urine leakage equal to or greater than the initial volume underwent adjustment of the sling tension. Results were statistically analyzed using the Fisher's test, Kolmogorov-Smirnov test, Friedman's non-parametric test or the Mann-Whitney test.


RESULTS
Significant improvement of the 24-hour pad test was observed with the Argus T® sling (p=0.038), With regard to the other parameters, there was no significant difference between the two groups. Removal of the Argus T® device due to perineal pain was performed in one patient (9%). Despite non uniform results, both devices were considered useful to improve quality of life (ICIQ-SF): Argus T® (p=0.018) and Advance® (p=0.017).


CONCLUSIONS
Better results were observed in the 24h pad test and in levels of satisfactionwith the Argus T® device. Both slings contributed to improve quality of life (ICIQ-SF), with acceptable side effects.
Departamento de Urologia, Faculdade de Medicina ABC, Santo André, SP, Brasil.
Joao Paulo Cunha
JP
Lima
Departamento de Urologia, Faculdade de Medicina ABC, Santo André, SP, Brasil.
Antonio Carlos Lima
AC
Pompeo
Departamento de Urologia, Faculdade de Medicina ABC, Santo André, SP, Brasil.
Carlos Alberto
CA
Bezerra
D000368:Aged; D000369:Aged, 80 and over; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011183:Postoperative Complications; D011468:Prostatectomy / Q000009:adverse effects*; D011788:Quality of Life; D018709:Statistics, Nonparametric; D053825:Suburethral Slings; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000209:etiology* / Q000601:surgery*; D014554:Urination; D014563:Urodynamics; D064232:Visual Analog Scale