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The AdVance and AdVanceXP male sling in urinary incontinence: is there a difference?

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Abstract

Purpose

To compare the efficacy and perioperative complications of the AdVanceXP with the original AdVance male sling.

Methods

We retrospectively enrolled 109 patients with an AdVance and 185 patients with an AdVanceXP male sling. The baseline characteristics and complication rates were analyzed retrospectively. Functional outcome and quality of life were evaluated prospectively by standardized, validated questionnaires. The Chi2-test for categorical and Mann–Whitney U test for continuous variables were performed to identify heterogeneity between the groups.

Results

Regarding operation time, there was no significant difference between the slings (p = 0.146). The complication rates were comparable in both groups except for postoperative urinary retention. This occurred significantly more often in patients with the AdVanceXP (p = 0.042). During follow-up, no differences could be identified regarding ICIQ-SF, PGI or I-QoL or number of pad usage.

Conclusions

The AdVance and AdVanceXP are safe and effective treatment options for male stress urinary incontinence. However, the innovations of the AdVanceXP sling did not demonstrate a superiority over the original AdVance sling regarding functional outcome.

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Abbreviations

ICIQ-SF:

International Consultation on Incontinence Questionnaire-Short Form

IPSS:

International Prostate Symptome Score

I-QoL:

Incontinence-Quality of Life

PGI-I:

Patient Global Impression-Improvement

SUI:

Stress urinary incontinence

VRS:

Verbal Rating Scale

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Acknowledgements

This study had no funding.

Author information

Authors and Affiliations

  1. Department of Urology and Pediatric Urology, University Medical Center of Johannes Gutenberg University, Mainz, Germany

    Tanja Hüsch, Martin Kurosch & Axel Haferkamp

  2. Department of Urology, Ludwig-Maximilians-University, Campus Großhadern, Munich, Germany

    Alexander Kretschmer & Ricarda M. Bauer

  3. Vancouver Prostate Center, University of British Columbia, Vancouver, Canada

    Alexander Kretschmer

  4. Department of Urology and Pediatric Urology, University Hospital Frankfurt, Frankfurt, Germany

    Frauke Thomsen & Dominik Kronlachner

  5. Department of Urology, St. Bernward Hospital Hildesheim, Hildesheim, Germany

    Alice Obaje

  6. Neuro-Urology, Department of Urology and Pediatric Urology, University Hospital Bonn, Bonn, Germany

    Ralf Anding & Ruth Kirschner-Hermanns

  7. Department of Urology, Vivantes Klinikum Am Urban, Reconstructive Urology, Berlin/Asklepios Hospital West Hamburg, Hamburg, Germany

    Tobias Pottek

  8. Department of Urology and Pediatric Urology, Helios Hospital Duisburg, Duisburg, Germany

    Achim Rose

  9. Department of Urology, Hospital Lüneburg, Lüneburg, Germany

    Roberto Olianas

  10. Department of Urology, Landeskrankenhaus Salzburg, Paracelsus Medical University, Salzburg, Austria

    Lukas Lusuardi

  11. Department of Urology, Barmherzige Schwestern Krankenhaus, Vienna, Austria

    Alexander Friedl

  12. Department of Urology and Pediatric Urology, St. Barbara Hospital Hamm GmbH, Hamm, Germany

    Roland Homberg

  13. Department of Urology, Evangelic Hospital Bethel, Bielefeld, Germany

    Jesco Pfitzenmaier

  14. Department of Urology, University Hospital Muenster, Muenster, Germany

    Fabian Queissert

  15. Department of Urology and Pediatric Urology, University Hospital Schleswig Holstein Campus Kiel, Kiel, Germany

    Carsten M. Naumann

  16. Department of Urology and Pediatric Urology, Catholic Hospital St. Johann Nepomuk, Erfurt, Germany

    Josef Schweiger

  17. Department of Urology, Diakonie Hospital Stuttgart, Stuttgart, Germany

    Carola Wotzka

  18. Department of Urology and Pediatric Urology, University Hospital Heidelberg, Heidelberg, Germany

    Joanne Nyarangi-Dix

  19. Department of Urology, Diakonie Hospital Schwäbisch Hall, Schwäbisch Hall, Germany

    Bernhard Brehmer

  20. Department of Urology and Pediatric Urology, Helios Hospital Schwelm, Schwelm, Germany

    Rudi Abdunnur

  21. Department of Urology and Pediatric Urology, Westpfalz Hospital, Kaiserslautern, Germany

    Hagen Loertzer

  22. Institute of Medical Informatic, Statistic and Epidemiology, Technical University Munich, Munich, Germany

    Kurt Ulm

  23. Department of Urology, Hospital Weinviertel Korneuburg, Korneuburg, Austria

    Wilhelm Hübner

Authors
  1. Tanja Hüsch
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  2. Alexander Kretschmer
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  3. Frauke Thomsen
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  4. Dominik Kronlachner
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  5. Martin Kurosch
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  6. Alice Obaje
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  7. Ralf Anding
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  8. Ruth Kirschner-Hermanns
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  9. Tobias Pottek
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  10. Achim Rose
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  11. Roberto Olianas
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  12. Lukas Lusuardi
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  13. Alexander Friedl
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  14. Roland Homberg
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  15. Jesco Pfitzenmaier
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  16. Fabian Queissert
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  17. Carsten M. Naumann
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  18. Josef Schweiger
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  19. Carola Wotzka
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  20. Joanne Nyarangi-Dix
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  21. Bernhard Brehmer
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  22. Rudi Abdunnur
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  23. Hagen Loertzer
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  24. Kurt Ulm
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  25. Wilhelm Hübner
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  26. Ricarda M. Bauer
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  27. Axel Haferkamp
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Contributions

TH: design of study, protocol development, data collection, data management, data analysis, manuscript writing, manuscript editing. AK: design of study, protocol development, data collection, data management, manuscript editing. FK and DK: data collection, data management, manuscript editing. MK, LL: data management, manuscript editing. AO, RA, TP, AR, RO, AF, WH, RH, JP, FQ, CMN, JS, CW, JNND, and BB: protocol development, data collection and contribution, data management, manuscript editing. RKH: data contribution, data management, manuscript editing. RA: data collection and contribution, data management, manuscript editing. HL: protocol development, manuscript editing. KU: data management, data analysis, manuscript editing. RMB, AH: design of study, protocol development, data management and contribution, manuscript editing.

Corresponding author

Correspondence to Tanja Hüsch.

Ethics declarations

Informed consent

This was a retrospective cohort study evaluating perioperative data. Validated questionnaires were utilized prospectively. A signed informed consent from the patients participating in prospective collection of the questionnaires was mandatory for this investigation.

Conflict of interest

T. Hüsch, A. Kretschmer, F. Thomsen, D. Kronlachner, M. Kurosch, A. Obaje, A. Rose, R. Olianas, L. Lusuardi, A. Friedl, R. Anding, R. Kirschner-Hermanns, R. Homberg, J. Pfitzenmaier, U. Grein, F. Queissert, J. Schweiger, C. Wotzka, J. Nyarangi-Dix, B. Brehmer, K. Ulm, and A. Haferkamp have nothing to disclose. R. M. Bauer declares consultancy work, lectures, and participation in clinical trials for AMS/Boston Scientific (Minnetonka, MN, USA) and Promedon (Cordoba, Argentina). C. M. Naumann declares lectures, consultancy work, and participation in clinical trials for Coloplast. W. Hübner declares consultancy work, lectures, and participation in clinical trials for Uromedica (Plymouth, MN, USA) and Promedon (Cordoba, Argentina). T. Pottek declares consultancy work, lectures for Boston Scientific/AMS, Promedon, Zephyr, and Teleflex. R. Abdunnur declares consultancy work, lectures, and participation in clinical trials for AMS/Boston Scientific (Minnetonka, MN, USA) and Promedon (Cordoba, Argentina). Hagen Loertzer declares lectures, consultancy work, and participation in clinical trials for Coloplast.

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Hüsch, T., Kretschmer, A., Thomsen, F. et al. The AdVance and AdVanceXP male sling in urinary incontinence: is there a difference?. World J Urol 36, 1657–1662 (2018). https://doi.org/10.1007/s00345-018-2316-5

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  • DOI: https://doi.org/10.1007/s00345-018-2316-5

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