Review Article
Male Stress Urinary Incontinence: A Review of Surgical Treatment Options and Outcomes
Table 2
Comparison of results of retrourethral transobturator sling placement in adult males with SUI.
| | Study | Pts (No.) | Mean/med
f/u (mo) | Pre-op continence
(mean/med) | Success def | Success
(%) | Improved
(%) | No improvement
(%) | Complications
(%) | Notes |
| | Rehder et al. [33] | 118 | 12 | 2.3 ppd | ≤1 ppd | 87 (74) | 20 (17) | 11 (9) | Retention 6 (5), perineal pain 23 (20) | Prospective | | Cornel et al. [34] | 35 | 12 | | 0 ppd, <2 g urine loss/day | 3 (9) | 16 (46) | 16 (46) | Removal 1 (3), retention 1 (3), mod-severe pain <3 months 12 (34) | Prospective, 2-center study | |
*Christine and Knoll [35] | 19 | 13 | | 0 ppd | 15 (79) | 4 (21) | 0 (0) | None | Pts w/recurrent incontinence after AUS placement | |
*Soljanik et al. [36] | 29 | 17 | 4.3 ppd | 0 ppd | 10 (35) | 16 (55) | 3 (10) | Urethral injury 1 (3), retention <2 wks 9 (24) | Pts previously failed sling placement | |
*Bauer et al. [37] | 24 | 18 | 4.5 ppd | ≤1 ppd | 6 (25) | 6 (25) | 12 (50) | Removal 1 (4) | All patients with RP and adjuvant radiotherapy | | Cornu et al. [38] | 136 | 21 | 2.1 ppd | 0 ppd | 84 (62) | 22 (16) | 30 (22) | Pain 14 (10), dysuria 19 (14) | Prospective study; failure ass’d w/24-hr pad >200 g, trend toward radiation therapy | | Bauer et al. [37] | 126 | 27 | 4.9 ppd | ≤1 ppd | 65 (52) | 30 (24) | 31 (25) | Removal 2 (2), retention <10 wks 19 (15), persistent pain 1 (1) | Prospective study; 17 pts (14%) with pre-op radiation | | Berger et al. [39] | 26 | 22 | 5.6 ppd | 0 ppd | 16 (62) | 7 (27) | 3 (12) | Pain ≤4 weeks 5 (19) | |
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*Salvage patient populations.
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