MAAUA: MAAUA 68th Annual Meeting Abstracts - AdVance Sling Placement for Male Stress Urinary Incontinence: Variations in Surgical Technique

MAAUA 68th Annual Meeting Abstracts

Retro-Urethral Sling Placement for Male Stress Urinary Incontinence: Variations in Surgical Technique
Damon Hoffmann, *Gregory Diorio, Richard Harkaway, Philip Ginsberg, Michael Metro
Albert Einstein Medical Center, Philadelphia, PA

Introduction: The AdVance male sling has become a viable option for men with mild to moderate stress urinary incontinence(SUI) post-prostatectomy. Our aim was to analyze two variations in surgical approach.
Materials & Methods: We retrospectively reviewed the charts of 17 consecutive men undergoing the AdVance sling procedure for post-prostatectomy SUI. 10 men underwent the procedure utilizing one surgical technique and the subsequent 7 a modified approach (limited dissection of the central tendon, passer placement at the apex of the triangle and longer postoperative rest period). Comparison was made utilizing an unpaired 2-tailed t-test for preoperative pad count, postoperative pad count at 1 and 3 months, postoperative urinary retention and erectile dysfunction (ED).
Results: No statistical difference occurred between the two groups in preoperative pads(2.1,1- diapers vs. 1.86, 1-5), postoperative pads at 1( 1.22, 0-Texas vs 1.29, 0-4.0) and 3 months (1.8, 0- Texas vs 1.2, 0-5) and pre- and postoperative ED(p=0.953,p=0.43). Postoperative retention occurred with greater frequency in the modified group 0.20 vs. 0.57(p=0.153) as well as zero pad use 0.10 vs 0.28. There was a significant difference between pre- and postoperative pad use within both groups (p=0.03).
Conclusions: There was a statistically significant difference in pre- and postoperative pad use displaying overall efficacy of the procedure. Though our technique change results were not different in mean number of pads, the percentage of totally dry patients increased with the modification. Further study and longer follow-up is needed to evaluate the success of the AdVance sling in these patients.

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