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Modified female mid-urethral sling for the treatment of incontinence after prostate treatment: One-center experience

The Prostate Feb 03, 2022

Findings indicate that modified female mid-urethral sling is a viable option for the treatment of incontinence after prostate treatment (IPT). Patients with a history of early postoperative urinary retention experienced improved efficacy.

  • In this retrospective review of 70 patients with IPT who underwent transobturator male sling procedure using the modified female mid-urethral sling, clinical results of the modified female mid-urethral sling were assessed and potential preoperative factors to better predict surgical outcomes were determined.

  • Cure in 35 (50.0%) patients, improvement in 12 (17.1%) patients, and presence of incontinence in 23 (32.9%) were observed at a final follow-up of 6−80 months.

  • A slight trend of declining continence over time was observed, and most of the patients remained improved.

  • Follow-up revealed perineal or scrotal pain in 25 patients, voiding difficulty in five patients and de novo urgency in two patients, and one patient developed infection and received sling explanation.

  • The only significant factor associated with better surgical results was early urinary retention.

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