July 24, 2011
Male incontinence: AdVance Male Sling
Traditionally for men experiencing stress urinary incontinence the artificial urinary sphincter (AUS) has been considered the treatment of choice for all levels of incontinence. The AUS is an excellent treatment but some men consider this to be too much of an undertaking especially if they have mild or moderate incontinence. For men with severe incontinence the AUS is still the treatment of choice but for those with mild or moderate incontinence there are new alternatives.
The AdVance male sling now has published mid-term data (1) demonstrating an overall success rate of 77% at 2 years (61% complete cure with further 16% significant improvement). A recent clinical overview (2) has concluded that the AdVance transobturator sling is an effective and safe treatment with durable results. The AdVance sling is associated with significant improvements in patients’ quality of life and satisfaction.
Patient selection for the AdVance male sling is extremely important (3). Men with incontinence need to be fully investigated to find the most appropriate treatment for them.
For men with urinary symptoms, including incontinence, Manchester Urology can fully assess, investigate and treat your symptoms. This includes offering the AUS and AdVance Male sling if required.
(1) Cornu N, Sebe P, Ciofu C, Peyrat L, Cussenot O, Haab, F. Mid-term evaluation of the transobtutator male sling for post-prostatectomy incontinence: focus on prognostic factors. BJU Int 2011; 108: 236-240.
(2) De Ridder D, Webster G. Clinical Overview of the AdVance Male Sling in Postprostatectomy Incontinence. Eur Urol 2011; 10: 401-406.
(3) Rehder P, Webster G. The AdVance Male Sling: Patient Selection and workup. Eur Urol 2011; 10: 390-394.