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Original Paper

Impact of the ‘Repositioning Test' on Postoperative Outcome of Retroluminar Transobturator Male Sling Implantation

Bauer R.M.a · Gozzi C.c · Roosen A.a · Khoder W.a · Trottmann M.a · Waidelich R.a · Stief C.G.a · Soljanik I.b

Author affiliations

aDepartment of Urology, Ludwig Maximilian University, Munich, and bDepartment of Neurourology, Spinal Cord Injury Center, Heidelberg University Hospital, Heidelberg, Germany; cDepartment of Urology, Health Agency of South Tyrol, Bressanone, Italy

Related Articles for ""

Urol Int 2013;90:334-338

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: December 11, 2012
Accepted: January 06, 2013
Published online: March 08, 2013
Issue release date: April 2013

Number of Print Pages: 5
Number of Figures: 2
Number of Tables: 1

ISSN: 0042-1138 (Print)
eISSN: 1423-0399 (Online)

For additional information: https://www.karger.com/UIN

Abstract

Objective: To evaluate prospectively the value of the ‘repositioning test' (RT) in preoperative patient selection for the efficacy of male stress urinary incontinence (SUI) treatment using a retroluminar transobturator male sling (AdVance sling). Patients and Methods: 65 consecutive patients with SUI after radical prostatectomy were included in this single-center prospective study. Preoperatively, patients were classified into those with ‘positive' and ‘negative' RT. Postoperative results were analyzed and the association between the result of the RT and postoperative outcome was evaluated. Results: 53 patients (81.5%) showed preoperatively a positive RT and 12 patients (18.5%) a negative RT. After a follow-up of 12 months, patients with positive RT showed a cure rate (0 pads/day) of 83% and patients with a negative RT showed only a cure rate of 25%. A positive RT significantly correlated with cure in outcome (p < 0.001). Conclusions: Patients with positive RT have a significantly better chance for successful AdVance sling implantation. The RT is minimally invasive, easy to learn and easy to perform. Therefore, the RT is a very useful tool for preoperative patient selection.

© 2013 S. Karger AG, Basel


References

  1. Bauer RM, Gozzi C, Hubner W, Nitti VW, Novara G, Peterson A, Sandhu JS, Stief CG: Contemporary management of postprostatectomy incontinence. Eur Urol 2011;59:985-996.
  2. Thuroff JW, Abrams P, Andersson KE, Artibani W, Chapple CR, Drake MJ, Hampel C, Neisius A, Schroder A, Tubaro A: EAU guidelines on urinary incontinence. Eur Urol 2011;59:387-400.
    External Resources
  3. Gozzi C, Becker AJ, Bauer R, Bastian PJ: Early results of transobturator sling suspension for male urinary incontinence following radical prostatectomy. Eur Urol 2008;54:960-961.
  4. Bauer RM, Mayer ME, May F, Gratzke C, Buchner A, Soljanik I, Bastian PJ, Stief CG, Gozzi C: Complications of the AdVance transobturator male sling in the treatment of male stress urinary incontinence. Urology 2010;75:1494-1498.
  5. Bauer RM, Soljanik I, Fullhase C, Buchner A, May F, Stief CG, Gozzi C: Results of the AdVance transobturator male sling after radical prostatectomy and adjuvant radiotherapy. Urology 2011;77:474-479.
  6. Cornu JN, Sebe P, Ciofu C, Peyrat L, Cussenot O, Haab F: Mid-term evaluation of the transobturator male sling for post-prostatectomy incontinence: focus on prognostic factors. BJU Int 2011;108:236-240.
  7. Rehder P, Haab F, Cornu JN, Gozzi C, Bauer RM: Treatment of postprostatectomy male urinary incontinence with the transobturator retroluminal repositioning sling suspension: 3-year follow-up. Eur Urol 2012;62:140-145.
  8. Rehder P, Mitterberger MJ, Pichler R, Kerschbaumer A, Glodny B: The 1-year outcome of the transobturator retroluminal repositioning sling in the treatment of male stress urinary incontinence. BJU Int 2010;106:1668-1672.
  9. Rehder P, Freiin Von Gleissenthall G, Pichler R, Glodny B: The treatment of postprostatectomy incontinence with the retroluminal transobturator repositioning sling (AdVance): lessons learnt from accumulative experience (in Spanish). Arch Esp Urol 2009;62:860-870.
    External Resources
  10. Soljanik I, Gozzi C, Becker AJ, Stief CG, Bauer RM: Risk factors of treatment failure after retrourethral transobturator male sling. World J Urol 2012;30:201-206.
  11. Bauer RM, Mayer ME, Gratzke C, Soljanik I, Buchner A, Bastian PJ, Stief CG, Gozzi C: Prospective evaluation of the functional sling suspension for male postprostatectomy stress urinary incontinence: results after 1 year. Eur Urol 2009;56:928-933.

Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: December 11, 2012
Accepted: January 06, 2013
Published online: March 08, 2013
Issue release date: April 2013

Number of Print Pages: 5
Number of Figures: 2
Number of Tables: 1

ISSN: 0042-1138 (Print)
eISSN: 1423-0399 (Online)

For additional information: https://www.karger.com/UIN


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