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Related Experiment Video

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AdVance male sling.

Amanda S J Chung1, Oscar A Suarez1, Kurt A McCammon1

  • 1Eastern Virginia Medical School, Norfolk, VA, USA.

Translational Andrology and Urology
|September 15, 2017
PubMed
Summary
This summary is machine-generated.

The AdVance sling offers a safe and effective minimally invasive treatment for male stress urinary incontinence (SUI). This guide details the surgical technique, patient selection, and complication management for successful outcomes.

Keywords:
Urinary incontinenceintraoperative complicationspostoperative complicationssuburethral slingsurinary retention

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Area of Science:

  • Urology
  • Minimally Invasive Surgery

Background:

  • Stress urinary incontinence (SUI) affects male patients, often requiring surgical intervention.
  • Synthetic transobturator slings are utilized for SUI treatment.

Purpose of the Study:

  • To provide a detailed, step-by-step surgical technique for AdVance male sling placement.
  • To offer insights on complication avoidance and management for AdVance sling procedures.

Main Methods:

  • The technique involves mobilization of the corpus spongiosum and central tendon.
  • Trocar needles are passed, and the sling is fixed to the corpus spongiosum.
  • Cystoscopy, catheterization, and wound closure complete the procedure.

Main Results:

  • The AdVance sling is a safe and effective treatment for mild to moderate male SUI.
  • Urinary retention is the most common early complication, with long-term retention being rare.

Conclusions:

  • Careful patient selection, including exclusion of urethral stenosis and bladder dysfunction, is crucial.
  • Management of sling failures may involve artificial urinary sphincters or other devices.