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Related Experiment Video

Updated: May 2, 2026

Cantilever Bending of Murine Femoral Necks
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Male sling adjustability: does it truly matter?

Rafael R Zanotti1, Fernando Lustosa2, Andre C Matos3

  • 1School of Medical Sciences, Department of Urology, Santa Casa de São Paulo, São Paulo, Brazil. rafael_r_z@hotmail.com.

International Urology and Nephrology
|February 5, 2024
PubMed
Summary
This summary is machine-generated.

Adjustable male slings (MS) offer improved outcomes for post-prostatectomy incontinence (PPI). Device readjustment is key, particularly for patients with prior radiotherapy or urethral stricture, enhancing success rates in PPI management.

Keywords:
Male incontinenceMale slingPost prostatectomy incontinenceProstate cancerUrinary incontinence

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Area of Science:

  • Urology
  • Surgical Innovation
  • Male Incontinence Management

Background:

  • Post-prostatectomy incontinence (PPI) presents varied patient needs.
  • Device readjustability in male slings (MS) may benefit PPI management but lacks robust study.
  • This study investigates the surgical technique, outcomes, and impact of MS readjustability.

Purpose of the Study:

  • To describe the surgical technique for male sling (MS) implantation for post-prostatectomy incontinence (PPI).
  • To assess the clinical outcomes of MS implantation.
  • To evaluate the impact of device readjustability on PPI treatment success.

Main Methods:

  • Retrospective analysis of 89 consecutive patients undergoing PPI correction with MS Argus-T™.
  • Median follow-up of 48 months.
  • Data collected on perioperative variables, clinical, and urodynamic parameters, correlated with readjustment needs and success.

Main Results:

  • Objective success achieved in 80.5% (65.9% cured, 14.6% improved); subjective success in 85.4% (74.4% cured, 11% improved).
  • Patients with prior urethral stricture (US) treatment: 79% objective success, 84.2% subjective success.
  • Patients with prior radiotherapy (RT): 68.7% objective success, 75% subjective success.
  • Readjustments needed in 27.7%; RT and prior US treatment were predictive factors for readjustment (OR: 8.46, OR: 6.41).

Conclusions:

  • Male sling (MS) adjustability enhances success rates, particularly for patients with prior radiotherapy (RT) or urethral stricture (US).
  • Readjustment is crucial for optimizing outcomes in challenging PPI cases.
  • Radiotherapy remains an adverse predictor of complete continence, even post-readjustment.