Long-term Outcome of the Retrourethral Transobturator Male Sling After Transurethral Resection of the Prostate
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Purpose: To evaluate long-term outcomes of AdVance and AdVanceXP male slings in patients with persistent stress urinary incontinence (SUI) after transurethral resection of the prostate (TURP). Methods: A total of 18 consecutive patients received AdVance (n=14) or AdVanceXP (n=4) male sling implantation between 2007 and 2013. Continence was determined by pad use, 24-hour pad testing and validated questionnaires (International Consultation on Incontinence Questionnaire Short Form, ICIQ-SF). Quality of life was evaluated by International Quality of Life (IQoL) score. Patient satisfaction was measured with patient’s global impression of improvement score. Cure was defined as 0–5 g in the 24-hour pad test. Statistical analysis included Fisher exact and Wilcoxon test (P<0.05). Results: Follow-up was available for 15 patients who underwent further analysis. After a median follow-up of 70 months (range, 18–83 months), mean daily pad usage was 1.8±2.1 pads (P=0.015 vs. baseline level). Mean IQoL score was 66.4±31.6 (P=0.050 vs. baseline level), and mean ICIQ-SF score was 9.5±6.6 (P=0.077 vs. baseline level). Based on 24-hour pad testing, mean daily urine loss was 31.2±64.5 g (median, 0 g; range, 0–209 g). Cure rate was 46.7%, and cure-and-improved rate was 60.0%. Assessing predictive features for success, better results were found in patients who needed up to 4 pads preoperatively (P=0.041) as well as for patients ≤71 years at the time of implantation (P=0.041). Conclusions: The findings indicate that AdVance and AdVanceXP implantation can be performed effectively and safely in men suffering from SUI after TURP. However, long-term success rates seem to be lower compared to SUI after radical prostatectomy and patients should be counseled accordingly.
Abstract
Purpose: To evaluate long-term outcomes of AdVance and AdVanceXP male slings in patients with persistent stress urinary incontinence (SUI) after transurethral resection of the prostate (TURP). Methods: A total of 18 consecutive patients received AdVance (n=14) or AdVanceXP (n=4) male sling implantation between 2007 and 2013. Continence was determined by pad use, 24-hour pad testing and validated questionnaires (International Consultation on Incontinence Questionnaire Short Form, ICIQ-SF). Quality of life was evaluated by International Quality of Life (IQoL) score. Patient satisfaction was measured with patient’s global impression of improvement score. Cure was defined as 0–5 g in the 24-hour pad test. Statistical analysis included Fisher exact and Wilcoxon test (P<0.05). Results: Follow-up was available for 15 patients who underwent further analysis. After a median follow-up of 70 months (range, 18–83 months), mean daily pad usage was 1.8±2.1 pads (P=0.015 vs. baseline level). Mean IQoL score was 66.4±31.6 (P=0.050 vs. baseline level), and mean ICIQ-SF score was 9.5±6.6 (P=0.077 vs. baseline level). Based on 24-hour pad testing, mean daily urine loss was 31.2±64.5 g (median, 0 g; range, 0–209 g). Cure rate was 46.7%, and cure-and-improved rate was 60.0%. Assessing predictive features for success, better results were found in patients who needed up to 4 pads preoperatively (P=0.041) as well as for patients ≤71 years at the time of implantation (P=0.041). Conclusions: The findings indicate that AdVance and AdVanceXP implantation can be performed effectively and safely in men suffering from SUI after TURP. However, long-term success rates seem to be lower compared to SUI after radical prostatectomy and patients should be counseled accordingly.
참고문헌 (25)
- Lucas MG, "EAU guidelines on surgical treatment of urinary incontinence", Eur Urol, 62, pp.1118~1129 (2012)
- Kumar A, "Artificial urinary sphincter versus male sling for post-prostatectomy incontinence--what do patients choose?", J Urol, 181, pp.1231~1235 (2009)
- Kretschmer A, "Evaluation and management of postprostatectomy incontinence: a systematic review of current literature", Eur Urol Focus, 2, pp.245~259 (2016)
- Bauer RM, "Prospective evaluation of the functional sling suspension for male postprostatectomy stress urinary incontinence: results after 1 year", Eur Urol, 56, pp.928~933 (2009)
- Bauer RM, "Mid-term results for the retroluminar transobturator sling suspension for stress urinary incontinence after prostatectomy", BJU Int, 108, pp.94~98 (2011)
- Cornu JN, "Midterm evaluation of the transobturator male sling for post-prostatectomy incontinence: focus on prognostic factors", BJU Int, 108, pp.236~240 (2011)
- Kowalik CG, "The advance transobturator male sling for post-prostatectomy incontinence: subjective and objective outcomes with 3 years follow up", Neurourol Urodyn, 34, pp.251~254 (2015)
- Bauer RM, "AdVanceXP male sling: 2-year results of a multicentre study", World J Urol, 34, pp.1025~1030 (2016)
- Rehder P, "Treatment of postprostatectomy male urinary incontinence with the transobturator retroluminal repositioning sling suspension: 3-year followup", Eur Urol, 62, pp.140~145 (2012)
- Cornu JN, "The AdVance transobturator male sling for postprostatectomy incontinence:clinical results of a prospective evaluation after a minimum follow-up of 6 months", Eur Urol, 56, pp.923~927 (2009)
- Wadie BS, "Retropubic bulbourethral sling for post-prostatectomy male incontinence: 2-year followup", J Urol, 184, pp.2446~2451 (2010)
- Gratzke C, "EAU Guidelines on the assessment of nonneurogenic male lower urinary tract symptoms including benign prostatic obstruction", Eur Urol, 67, pp.1099~1109 (2015)
- Bauer RM, "Diagnosis and surgical treatment of postprostatectomy stress incontinence:recommendation of the working group Urologische Funktionsdiagnostik und Urologie der Frau", Urologe A, 53, pp.847~853 (2014)
- Bauer RM, "Impact of the ‘repositioning test’ on postoperative outcome of retroluminar transobturator male sling implantation", Urol Int, 90, pp.334~338 (2013)
- Rehder P, "Transobturator sling suspension for male urinary incontinence including post-radical prostatectomy", Eur Urol, 52, pp.860~866 (2007)
- Avery K, "ICIQ:a brief and robust measure for evaluating the symptoms and impact of urinary incontinence", Neurourol Urodyn, 23, pp.322~330 (2004)
- Bushnell DM, "Quality of life of women with urinary incontinence: cross-cultural performance of 15 language versions of the I-QOL", Qual Life Res, 14, pp.1901~1913 (2005)
- Twiss CO, "Comparison between reduction in 24-hour pad weight, International Consultation on Incontinence-Short Form (ICIQ-SF) score, International Prostate Symptom Score (IPSS), and Post-Operative Patient Global Impression of Improvement (PGI-I) score in patient evaluation after male perineal sling", Neurourol Urodyn, 26, pp.8~13 (2007)
- Bauer RM, "AdVance and Ad-Vance XP slings for the treatment of post-prostatectomy incontinence", World J Urol, 33, pp.145~150 (2015)
- Kretschmer A, "Midterm outcomes after AdVanceXP male sling implantation", BJU Int, 118, pp.458~463 (2016)
- Dindo D, "Classification of surgical complications: a new proposal with evaluation in a cohort of 6336patients and results of a survey", Ann Surg, 240, pp.205~213 (2004)
- Cornu JN, "Comparative study of AdVance and AdVanceXP male slings in a tertiary reference center", Eur Urol, 65, pp.502~504 (2014)
- Collado Serra A, "AdVance", Ad-Vance XP transobturator male slings: preoperative degree of incontinence as predictor of surgical outcome, 2013, pp.81, 1034~1039
- Rehder P, "The 1 year outcome of the transobturator retroluminal repositioning sling in the treatment of male stress urinary incontinence", BJU Int, 106, pp.1668~1672 (2010)
- Zuckerman JM, "Extended outcomes in the treatment of male stress urinary incontinence with a transobturator sling", Urology, 83, pp.939~945 (2014)