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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