The AdVance and AdVanceXP male sling in urinary incontinence: is there a difference?

To compare the efficacy and perioperative complications of the AdVanceXP with the original AdVance male sling.

We retrospectively enrolled 109 patients with an AdVance and 185 patients with an AdVanceXP male sling. The baseline characteristics and complication rates were analyzed retrospectively. Functional outcome and quality of life were evaluated prospectively by standardized, validated questionnaires. The Chi2-test for categorical and Mann-Whitney U test for continuous variables were performed to identify heterogeneity between the groups.

Regarding operation time, there was no significant difference between the slings (p = 0.146). The complication rates were comparable in both groups except for postoperative urinary retention. This occurred significantly more often in patients with the AdVanceXP (p = 0.042). During follow-up, no differences could be identified regarding ICIQ-SF, PGI or I-QoL or number of pad usage.

The AdVance and AdVanceXP are safe and effective treatment options for male stress urinary incontinence. However, the innovations of the AdVanceXP sling did not demonstrate a superiority over the original AdVance sling regarding functional outcome.

World journal of urology. 2018 May 04 [Epub ahead of print]

Tanja Hüsch, Alexander Kretschmer, Frauke Thomsen, Dominik Kronlachner, Martin Kurosch, Alice Obaje, Ralf Anding, Ruth Kirschner-Hermanns, Tobias Pottek, Achim Rose, Roberto Olianas, Lukas Lusuardi, Alexander Friedl, Roland Homberg, Jesco Pfitzenmaier, Fabian Queissert, Carsten M Naumann, Josef Schweiger, Carola Wotzka, Joanne Nyarangi-Dix, Bernhard Brehmer, Rudi Abdunnur, Hagen Loertzer, Kurt Ulm, Wilhelm Hübner, Ricarda M Bauer, Axel Haferkamp

Department of Urology and Pediatric Urology, University Medical Center of Johannes Gutenberg University, Mainz, Germany. ., Department of Urology, Ludwig-Maximilians-University, Campus Großhadern, Munich, Germany., Department of Urology and Pediatric Urology, University Hospital Frankfurt, Frankfurt, Germany., Department of Urology and Pediatric Urology, University Medical Center of Johannes Gutenberg University, Mainz, Germany., Department of Urology, St. Bernward Hospital Hildesheim, Hildesheim, Germany., Neuro-Urology, Department of Urology and Pediatric Urology, University Hospital Bonn, Bonn, Germany., Department of Urology, Vivantes Klinikum Am Urban, Reconstructive Urology, Berlin/Asklepios Hospital West Hamburg, Hamburg, Germany., Department of Urology and Pediatric Urology, Helios Hospital Duisburg, Duisburg, Germany., Department of Urology, Hospital Lüneburg, Lüneburg, Germany., Department of Urology, Landeskrankenhaus Salzburg, Paracelsus Medical University, Salzburg, Austria., Department of Urology, Barmherzige Schwestern Krankenhaus, Vienna, Austria., Department of Urology and Pediatric Urology, St. Barbara Hospital Hamm GmbH, Hamm, Germany., Department of Urology, Evangelic Hospital Bethel, Bielefeld, Germany., Department of Urology, University Hospital Muenster, Muenster, Germany., Department of Urology and Pediatric Urology, University Hospital Schleswig Holstein Campus Kiel, Kiel, Germany., Department of Urology and Pediatric Urology, Catholic Hospital St. Johann Nepomuk, Erfurt, Germany., Department of Urology, Diakonie Hospital Stuttgart, Stuttgart, Germany., Department of Urology and Pediatric Urology, University Hospital Heidelberg, Heidelberg, Germany., Department of Urology, Diakonie Hospital Schwäbisch Hall, Schwäbisch Hall, Germany., Department of Urology and Pediatric Urology, Helios Hospital Schwelm, Schwelm, Germany., Department of Urology and Pediatric Urology, Westpfalz Hospital, Kaiserslautern, Germany., Institute of Medical Informatic, Statistic and Epidemiology, Technical University Munich, Munich, Germany., Department of Urology, Hospital Weinviertel Korneuburg, Korneuburg, Austria.

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