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World Journal of Urology

, Volume 37, Issue 3, pp 545–551 | Cite as

Clinical results of a dorsally positioned hydraulic ID-sling in male patients with post-prostatectomy-incontinence

  • Sabina Sevcenco
  • Peter Nyirady
  • Attila Majoros
  • Lukas Lusuardi
  • Hans-Christoph KlinglerEmail author
Original Article
  • 72 Downloads

Abstract

Purpose

To prospectively evaluate the effectiveness and safety of and the long-term experience with a re-adjustable hydraulic sling (ID-sling) device positioned dorsally to the urethra for the treatment of male post-prostatectomy incontinence (PPI).

Materials and methods

Between September 2007 and November 2009 13 patients with persisting SUI were treated consecutively with an ID-sling™ in two European tertiary centers by a single surgeon. Physical examinations and standardized questionnaires (ICIQ-SF + VAS), pad tests, and 24-h pad number counts were performed at baseline and during follow-up.

Results

The implantation of the hydraulic cuff was uncomplicated in all cases. The ICIQ-SF score diminished from a preoperative mean value of 18 to a mean of five postoperatively. One patient remained completely dry with normal micturition. All patients demonstrated a mild improvement at primary filling but did not show any significant improvement after the second or any subsequent filling. In total, 1/13 (7.7%) patients were completely dry and 5/13 (38.4%) showed improved continence. In 6/13 (46.2%) patients, satisfactory continence results according to subjective criteria, were not achieved. Subsequently, artificial urinary sphincter (AUS) implantation was offered to one patient (7.7%) after 12 months and to ten patients (76,9%) after 24 months.

Conclusions

The implantation of a dorsally placed hydraulic sling is a not yet standardized and complex procedure, even for the experienced surgeon. To date, this implantation method is not an alternative to other devices. An improved sling design is necessary to simplify the surgical procedure and to improve long-term stability.

Keywords

Male stress urinary incontinence Radical prostatectomy Adjustable male hydraulic urethral sling 

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Sabina Sevcenco
    • 1
  • Peter Nyirady
    • 2
  • Attila Majoros
    • 2
  • Lukas Lusuardi
    • 3
  • Hans-Christoph Klingler
    • 4
    • 5
    Email author
  1. 1.Department of UrologyDonauspitalViennaAustria
  2. 2.Department of UrologySemmelweis University BudapestBudapestHungary
  3. 3.Department of UrologyParacelsus Medical UniversitySalzburgAustria
  4. 4.Department of Urology and Pediatric UrologyWilhelminenspitalViennaAustria
  5. 5.Department of UrologyMedical University of ViennaViennaAustria

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