To evaluate the outcomes of Male Readjustable Sling(®) (MRS) in patients with post-prostatectomy incontinence (PPI) at two unrelated centers and to determine preoperative factors relevant to the outcome.
From January 2007 to January 2014, a total of 64 men with urinary incontinence following radical prostatectomy were treated with MRS at two centers. Patients were evaluated based on medical history, daily pad usage, urodynamics, and cystoscopy. The clinical outcome was evaluated according to daily pad usage and questionnaires. Success was defined according to reductions in the number of pads used per day after surgery, and factors related to surgical outcome were investigated.
The median age of the patients was 70 years (range: 53-84), and the mean follow-up duration was 46. 0±19. 47 months (range: 12-89). During follow-up, readjustment of the sling was required 1. 9 times on average. Daily pad usage decreased significantly from 3. 42±2. 00 to 0. 84±1. 20 (p
According to our mid-term follow-up data, MRS is an effective and safe treatment option for radiation-naïve patients with a mild degree of PPI.
Urology. 2015 Oct 23 [Epub ahead of print]
Sang Woon Kim, Rhonda Walsh, Yitzhak Berger, Jang Hwan Kim
Department of Urology and Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea. , Department of Urology, Barnabas Health Medical Center, Livingston, New Jersey, USA. , Department of Urology, Barnabas Health Medical Center, Livingston, New Jersey, USA. , Department of Urology and Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.