AdVance sling use decreasing relative to artificial urinary sphincters

Area of Science:

• Urology
• Medical Devices
• Public Health

Background:

• Male stress urinary incontinence (SUI) management has evolved with various device options.
• The AdVance male sling and artificial urinary sphincters (AUS) are key surgical treatments for SUI.

Purpose of the Study:

• To analyze the utilization trends of the AdVance male sling in comparison to AUS over a nine-year period in the United States.
• To identify shifts in the adoption of these devices for treating male SUI.

Main Methods:

• Device utilization data for AdVance slings and AUS were reviewed.
• Data were stratified by American Urological Association (AUA) sections.
• Analysis of purchasing trends utilized ANOVA testing to determine statistical significance (p < 0.05).

Main Results:

• AdVance sling usage significantly increased relative to AUS from 36% in 2007 to 48% in 2008.
• Sling usage remained stable from 2008-2011, then decreased significantly to 29% in 2012, stabilizing at this lower level through 2015.
• The Southeast AUA section reported the highest percentage of male SUI procedures, utilizing 27% of AdVance slings and 25% of AUS.

Conclusions:

• AdVance sling use relative to AUS initially rose post-introduction, stabilizing for three years before declining.
• Recent years indicate a decrease in AdVance sling utilization and a concurrent increase in AUS use.
• The underlying reasons for these observed trends in male SUI device usage remain speculative and warrant further investigation.