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AdVance and AdVance XP slings for the treatment of post-prostatectomy incontinence

Abstract

Purpose

To examine the outcomes with the AdVance XP and AdVance slings in the management of post-prostatectomy incontinence (PPI).

Methods

Eighty patients were treated with the AdVance resp. AdVance XP at one tertiary reference centre. The initial patients were implanted with the AdVance male sling with no associated surgery. Following the introduction of the AdVance XP sling, subsequent patients were implanted with the AdVance XP slings. Measurements included: daily pad usage, 24-h pad weight test, International Quality of Life Questionnaire, International Consultation on Incontinence Questionnaire Short Form and the Patient Global Impression of Improvement. Adverse events were recorded.

Results

Follow-up was available for 39 and 41 patients treated with the AdVance and AdVance XP slings, respectively. At a median follow-up of 24.7 months, 69.3 % of patients could be classified as cured or improved in the AdVance group and at a median follow-up of 11.9 months, 90.3 % of AdVance XP-treated patients. At 3-month follow-up, 96.8 and 97.3 % of patients could be classed as cured or improved in the AdVance and AdVance XP groups, respectively (not significant). There were no perioperative complications. Two AdVance and three AdVance XP serious post-operative complications were reported, which were resolved following treatment. QOL was improved in both treatment groups.

Conclusions

Both the AdVance and the AdVance XP slings are effective and safe for the treatment of PPI.

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Acknowledgments

This study was sponsored by American Medical Systems.

Ethical standards

The study has been approved by the appropriate ethics committee and has therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments. All patients gave their informed consent prior to their inclusion in the study.

Conflict of interest

Ricarda M. Bauer declares lectures, consultancy work and participation in clinical trials for AMS. All other authors have no conflict of interest. All authors had full control of the primary data, and no agreement has limited their ability to fairly complete and publish the data.

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Correspondence to Ricarda M. Bauer.

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Bauer, R.M., Kretschmer, A., Stief, C.G. et al. AdVance and AdVance XP slings for the treatment of post-prostatectomy incontinence. World J Urol 33, 145–150 (2015). https://doi.org/10.1007/s00345-014-1297-2

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Keywords

  • AdVance sling
  • AdVance XP sling
  • Male incontinence
  • Post-prostatectomy incontinence
  • Complications
  • Quality of life