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[Short-term outcome of transobturator sling suspension system AdVance in the treatment of men with moderate to severe stress urinary incontinence].

OBJECTIVE
To evaluate the clinical outcome after the placement of AdVance sling in men with stress urinary incontinence (SUI) after radical prostatectomy.


METHODS
In this study, 2 SUI cases secondary to radical prostatectomy were recruited. Incontinence was assessed on basis of the physical exam and number of pad usage. The patients' quality of life was evaluated using Patient Perception of Bladder Condition at the end of 1 month and 6 months post-operatively.


RESULTS
The moderate SUI patient (case 1) usually used 1 to 2 urinary pads per day, 6 months postoperatively, with 4 to 5 pads preoperatively. The pad usage was significantly reduced after surgery, and obvious improvement was seen in urinary incontinence. Voiding diary showed the voiding number was 7 to 8 per day, 2 to 3 per night and leakage of urine 2 to 3 times. The IPSS QOL score was 6 preoperatively and dropped to 2 after surgery. The maximum urinary flow rate was 20 mL/s with no residual urine. No wound infection and urethral erosion were found postoperatively. The patient was satisfied with the result of the surgery. The severe SUI patient (case 2) used 7 to 8 pads per day, 6 months postoperatively, with 8 to 10 pads preoperatively. The pad usage was mildly reduced after surgery. Voiding diary showed only 2 to 3 times self-voiding, and the rest needed pads. The IPSS QOL score was 6 preoperatively and 5 postoperatively. The maximum urinary flow rate was 15 mL/s with no residual urine. No wound infection and urethral erosion were found postoperatively. The patient was unsatisfied with the result of the surgery.


CONCLUSION
Placement of the AdVance sling represents an effective and safe treatment option for patients with post radical prostatectomy incontinence, especially for those with moderate or mild SUI.