Review Article

Male Stress Urinary Incontinence: A Review of Surgical Treatment Options and Outcomes

Table 3

Comparison of results of adjustable retropubic sling placement in adult males with SUI.

StudyPts
(No.)
Mean/med
f/u (mo)
Pre-op continence
(mean/med)
Success defSuccess
(%)
Improved (%)No improvement
(%)
Complications
(%)
Notes

Romano et al. [45]48450 ppd31 (66)6 (13)10 (21)Infection 3 (6), erosion 6 (13), removal 9 (19), pain 2 (4)Argus sling; adjustment required in 5 (10)
*Tuygun et al. [46]8106.8 ppd0 ppd1 (13)1 (13)6 (75)Pain 3 (38)Argus sling; pts w/prior AUS erosion; study compares AUS to sling as salvage option
Bochove-Overgaauw and Schrier [47]9527See notes≤1 ppd51 (54)17 (18)27 (28)Infection 6 (6), erosion 3 (3), removal 11 (12), total 55 (58)Argus sling; Pre-op continence: 1-2 ppd in 13/100, 3–5 ppd in 46/100, and 6–10 ppd in 41/100
Dalpiaz et al. [48]29355 ppd5 (17)Infection 2 (7), erosion 3 (10), bladder perforation 3 (10), retention 10 (35), removal 10 (35), significant pain 8 (27) Argus sling; Dissatisfied with clinical outcome 21 (72)
Hübner et al. [49]10125≤1 g 20-min pad test80 (79)Bladder perforation 5 (5), infection 5 (5), erosion 13 (13), removal 16 (16), pain <3 wks 15 (15) Argus sling; adjustment required in 39 (39)
Sousa-Escandón et al. [50]5132≤1 ppd33 (65)10 (20)8 (16)Infection 3 (6), removal 1 (2), bladder perforation 5 (10), majority with perineal painRemeex sling; multicenter study; adjustment required in 51 (100)
Verdejo et al. [51]5155–8 ppd≤1 ppd5 (100)Remeex sling
Parra et al. [52]15195/12 (42)4/12 (33)3/12 (25)Removal 3 (21), readjustment 12 (86), bladder perforation 4 (29), retention 5 (36)Remeex sling

PPD: pads per day; PGI-I: Patient Global Impression of Improvement; RP: radical prostatectomy; RLPP: retrograde leak point pressure.
*Represents specialized/salvage patient populations.