Virtue male sling for post-prostatectomy stress incontinence: a prospective evaluation and mid-term outcomes

To evaluate the efficacy and safety of the Virtue Male sling in a cohort of patients affected by post prostatectomy stress urinary incontinence (SUI).

All consecutive patients treated with Virtue(®) male sling at our Institution in year 2012 were included in our prospective, non randomized study. Patients were evaluated preoperatively and at 1, 3, 6, 12, 24 and 36 months after surgery with 24-hour pad weight test, ICI-Q short form questionnaire, Urinary Symptom Profile questionnaire, bladder diary, uroflowmetry and Patient Global Impression of Improvement and Patient Global Impression of Severity Questionnaire.

Men age was 65.5 years. 72.4% of patients complained a pre operative mild incontinence (1-2 PPD), whereas 9 patients used 3-5 pads/day. 17 complications occurred in 29 patients (58.6%) and all were grade I. At 12 months follow up patients showed a significant improvement in 24 h PAD test (128.6 VS 2.5), pads per day used (2 VS 0), ICI Q SF score (14.3 VS 0.9), USP SUI score (4 VS 0) and outcomes remains stable at 36 months. At last follow up, PGI I questionnaire showed a median score of 1 (very much better).

Virtue(®) Male Sling is an effective treatment option for low to moderate post-prostatectomy incontinence. This article is protected by copyright. All rights reserved.

BJU international. 2016 [Epub ahead of print]

Matteo Ferro, Danilo Bottero, Carolina D'Elia, Deliu Victor Matei, Antonio Cioffi, Gabriele Cozzi, Alessandro Serino, Giovanni Cordima, Roberto Bianchi, Piero Giacomo Incarbone, Antonio Brescia, Gennaro Musi, Ferdinando Fusco, Serena Detti, Vincenzo Mirone, Ottavio de Cobelli

Department of Urology, European Institute of Oncology (IEO), Milan, Italy. ., Department of Urology, European Institute of Oncology (IEO), Milan, Italy., Urology Dpt, AOUI of Verona, Verona, Italy., Departments of Urology, University Federico II of Naples, Napoli, Italy.