Skip to main content
SpringerLink
Log in

Male Urethral Slings

  • Chapter
  • First Online:
Prosthetic Surgery in Urology

  • 619 Accesses

Abstract

Iatrogenic male stress urinary incontinence (SUI) affects a small proportion of men who undergo urological procedures but has a profound impact on their quality of life. The prevalence of post-prostatectomy urinary incontinence (PPI) varies from 2.5 to 87 %. In the more recent series this is reported as 2–10 % (Haab et al. Urol Clin North Am 23:447–57; 1996, Majoros et al. Neurourol Urodyn 25:2–7; 2006). Incontinence can also occur in 1 % of patients undergoing surgical treatment for bladder outflow obstruction secondary to benign prostatic enlargement (Haab et al. Urol Clin North Am 23:447–57; 1996). The treatment of male SUI is continuing to evolve with multiple different surgical options. This chapter covers the increasingly popular option of using male urethral slings in men with SUI.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Haab F, Yamaguchi R, Leach GE. Postprostatectomy incontinence. Urol Clin North Am. 1996;23:447–57.

    Article  CAS  PubMed  Google Scholar 

  2. Majoros A, Bach D, Keszthelyi A, Hamvas A, Romics I. Urinary incontinence and voiding dysfunction after radical retropubic prostatectomy (prospective urodynamic study). Neurourol Urodyn. 2006;25:2–7.

    Article  PubMed  Google Scholar 

  3. Markland AD, Richter HE, Fwu CW, Eggers P, Kusek JW. Prevalence and trends of urinary incontinence in adults in the United States, 2001 to 2008. J Urol. 2011;186:589–93.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardisation of terminology of lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Neurourol Urodyn. 2002;187:167–78.

    Article  Google Scholar 

  5. Ferlay J, Parkin DM, Steliarova-Foucher E. Estimates of cancer incidence in mortality in Europe in 2008. Eur J Cancer. 2010;46:765–81.

    Article  CAS  PubMed  Google Scholar 

  6. Jemal A, Siegel R, Xu J, Ward E. Cancer statistics, 2010. CA Cancer J Clin. 2010;60:277–300.

    Article  PubMed  Google Scholar 

  7. Shipley WU, Zietman AL, Hanks GE, Coen JJ, Caplan RJ, Won M, et al. Treatment related sequelae following external beam radiation for prostate cancer: a review with an update in patients with stages T1 and T2 tumour. J Urol. 1994;152:1799–805.

    CAS  PubMed  Google Scholar 

  8. Wasson JH, Reda DJ, Bruskewitz RC, Elinson J, Keller AM, Henderson WG. A comparison of trans-urethral surgery with watchful waiting for moderate symptoms of benign prostatic hyperplasia. The Veterans Affairs Cooperative Study Group on Transurethral Resection of the Prostate. N Engl J Med. 1995;332:75–9.

    Article  CAS  PubMed  Google Scholar 

  9. Kaufman JJ. A new operation for male incontinence. Surg Gynecol Obstet. 1970;131:295–9.

    CAS  PubMed  Google Scholar 

  10. Kaufman JJ. Treatment of post-prostatectomy urinary incontinence using a silicone gel prosthesis. Br J Urol. 1973;45:646–53.

    Article  CAS  PubMed  Google Scholar 

  11. Kaufman JJ. Surgical treatment of post-prostatectomy incontinence: use of the penile crura to compress the bulbous urethra. J Urol. 1972;107:293–7.

    CAS  PubMed  Google Scholar 

  12. Bugel H, Pfister C, Sibert L, Cappele O, Khalaf A, Grise P. Intraurethral Macroplastique injections in the treatment of urinary incontinence after prostatic surgery. Prog Urol. 1999;9:1068–76.

    CAS  PubMed  Google Scholar 

  13. Rajpurkar AD, Onur R, Singla A. Patient satisfaction and clinical efficacy of the new perineal bone-anchored male sling. Eur Urol. 2005;47:237–42.

    Article  PubMed  Google Scholar 

  14. Giberti C, Gallo F, Schenone M, Cortese P, Ninotta G. The bone anchor suburethral synthetic sling for iatrogenic male incontinence: critical evaluation at a mean 3-year followup. J Urol. 2009;181:2204–8.

    Article  PubMed  Google Scholar 

  15. Winters JC. Male slings in the treatment of sphincteric incontinence. Urol Clin North Am. 2011;38:73–81.

    Article  PubMed  Google Scholar 

  16. Soljanik I, Becker AJ, Stief CG, Gozzi C, Bauer RM. Repeat retrourethral transobturator sling in the management of recurrent postprostatectomy stress urinary incontinence after failed first male sling. Eur Urol. 2010;58:767–72.

    Article  PubMed  Google Scholar 

  17. Rehder P, Gozzi C. Transobturator sling suspension for male urinary incontinence including post-radical prostatectomy. Eur Urol. 2007;52:860–7.

    Article  PubMed  Google Scholar 

  18. Rehder P, Mitterberger MJ, Pichler R, Kerschbaumer A, Glodny B. The 1 year outcome of the transobturator retroluminal repositioning sling in the treatment of male stress urinary incontinence. BJU Int. 2010;106:1668–72.

    Article  PubMed  Google Scholar 

  19. Davies TO, Bepple J, McCammon KA. Urodynamic changes and initial results of the AdVance male sling. Urology. 2009;74:354–7.

    Article  PubMed  Google Scholar 

  20. Bauer RM, Solijanik I, Füllhase C, Buchner A, May F, Stief CG, Gozzi C. Results of the AdVance transobturator male sling after radical prostatectomy and adjuvant radiotherapy. Urology. 2011;77:47–9.

    Google Scholar 

  21. Bauer RM, Solijanik I, Füllhase C, Karl A, Becker A, Stief CG, Gozzi C. Mid-term results for the retroluminar transobturator sling suspension for stress urinary incontinence after prostatectomy. BJU Int. 2011;108:236–40.

    Article  Google Scholar 

  22. Cornu JN, Sebe P, Ciofu C, Peyrat L, Cussenot O, Haab F. Mid-term evaluation of the trans-obturator male sling for post-prostatectomy incontinence: focus on prognostic factors. BJU Int. 2011;108:236–40.

    Article  PubMed  Google Scholar 

  23. Rehder P, Freinn von Gleissenthall G, Pichler R, Glodny B. The treatment of postprostatectomy incontinence with the retroluminal transobturator repositioning sling (AdVance): lessons learned from accumulative experience. Arch Esp Urol. 2009;62:860–70.

    Article  PubMed  Google Scholar 

  24. Cornel EB, Elzevier HW, Putter H. Can advance transobturator sling suspension cure male urinary postoperative stress incontinence? J Urol. 2010;183:1459–63.

    Article  PubMed  Google Scholar 

  25. Gill BC, Swartz MA, Klein JB, Rackley RR, Montague DK, Vasavada SP, Angermeier KW. Patient perceived effectiveness of a new male sling as treatment for post-prostatectomy incontinence. J Urol. 2010;183:247–52.

    Article  PubMed  Google Scholar 

  26. Christine B, Knoll LD. Treatment of recurrent urinary incontinence after artificial urinary sphincter placement using the advance male sling. Urology. 2010;76:1321–4.

    Article  PubMed  Google Scholar 

  27. Berger AP, Strasak A, Seitz C, Rein P, Hobisch A. Single institution experience with the transobturator sling suspension system advance in the treatment of male urinary incontinence: mid-term results. Int Braz J Urol. 2011;37:488–94.

    Article  PubMed  Google Scholar 

  28. Shah A, Guralnick M, O’Connor RC. Urethral erosion of AdVance transobturator male slings: a review of 5 cases [abstract]. Neurourol Urodyn. 2013;32(2):148–9.

    Google Scholar 

  29. Elzevier HW, Cornel EB. The 1-year outcome of the transobturator retroluminal repositioning sling in the treatment of male stress urinary incontinence. BJU Int. 2010;106:1091.

    Article  PubMed  Google Scholar 

  30. Madjar S, Jacoby K, Giberti C, Wald M, Halachmi S, Issaq E, et al. Bone anchored sling for the treatment of post-prostatectomy incontinence. J Urol. 2001;165:72–6.

    Article  CAS  PubMed  Google Scholar 

  31. Cespedes RD, Jacoby K. Male slings for postprostatectomy incontinence. Tech Urol. 2001;7:176–83.

    CAS  PubMed  Google Scholar 

  32. Dikranian AH, Chang JH, Rhee EY, Aboseif SR. The male perineal sling: comparison of sling materials. J Urol. 2004;172:608–10.

    Article  CAS  PubMed  Google Scholar 

  33. Onur R, Rajpurkar A, Singla A. New perineal bone-anchored male sling: lessons learned. Urology. 2004;64:58–61.

    Article  PubMed  Google Scholar 

  34. Giberti C, Gallo F, Schenone M, Cortese P. The bone-anchored sub-urethral sling for the treatment of iatrogenic male incontinence: subjective and objective assessment after 41 months of mean follow-up. World J Urol. 2008;26:173–8.

    Article  PubMed  Google Scholar 

  35. Ullrich NF, Comiter CV. The male sling for stress urinary incontinence: urodynamic and subjective assessment. J Urol. 2004;172:204–6.

    Article  PubMed  Google Scholar 

  36. Carmel M, Hage B, Hanna S, Schmutz G, Tu LM. Long-term efficacy of the bone-anchored male sling for moderate and severe stress urinary incontinence. BJU Int. 2010;106:1012–6.

    Article  PubMed  Google Scholar 

  37. Ullrich NF, Comiter CV. The male sling for stress urinary incontinence: 24-month followup with questionnaire based assessment. J Urol. 2004;172:207–9.

    Article  PubMed  Google Scholar 

  38. Comiter CV. The male perineal sling: intermediate-term results. Neurourol Urodyn. 2005;24:648–53.

    Article  PubMed  Google Scholar 

  39. Castle EP, Andrews PE, Itano N, Novicki DE, Swanson SK, Ferrigni RG. The male sling for post-prostatectomy incontinence: mean followup of 18 months. J Urol. 2005;173:1557–60.

    Article  Google Scholar 

  40. Gallagher BL, Dwyer NT, Gaynor-Krupnick DM, Latini JM, Kreder KJ. Objective and quality-of-life outcomes with bone-anchored male bulbourethral sling. Urology. 2007;69:1090–4.

    Article  PubMed  Google Scholar 

  41. Fischer MC, Huckabay C, Nitti VW. The male perineal sling: assessment and prediction of outcome. J Urol. 2007;177:1414–8.

    Article  PubMed  Google Scholar 

  42. Guimarães M, Oliveira R, Pinto R, Soares A, Maia E, Botelho F. Intermediate-term results, up to 4 years, of a bone-anchored male perineal sling for treating male stress urinary incontinence after prostate surgery. BJU Int. 2009;103:500–4.

    Article  PubMed  Google Scholar 

  43. Athanasopoulos A, Konstantinopoulos A, McGuire E. Efficacy of the InVance male sling in treating stress urinary incontinence: a three-year experience from a single centre. Urol Int. 2010;85:436–42.

    Article  PubMed  Google Scholar 

  44. Bensouda A, Kulisa M, Poissonnier L, Badet L, Colombel M, Martin X, et al. Bone-anchored suburethral sling complicated by pubic osteomyelitis: a case report. Prog Urol. 2009;19:145–8.

    Article  CAS  PubMed  Google Scholar 

  45. Mourcade P. Osteomyelitis due to bone-anchored male sling. Prog Urol. 2009;19:229–30.

    Article  Google Scholar 

  46. Senechal C, Limani K, Djeffal C, Paul A, Saint F, Petit J. Perineoscrotal pain after InVance suburethral sling: Cadavre anatomical study. Prog Urol. 2008;18:456–62.

    Article  CAS  PubMed  Google Scholar 

  47. Schaeffer AJ, Clemens JQ, Ferrari M, Stamey TA. The male bulbourethral sling procedure for post-radical prostatectomy incontinence. J Urol. 1998;159:1510–5.

    Article  CAS  PubMed  Google Scholar 

  48. Bochove- Overgaauw DM, Schrier BP. An adjustable sling for the treatment of all degrees of male stress urinary incontinence: retrospective evaluation of efficacy and complications after a minimal follow up of 14 months. J Urol. 2011;185:1363–8.

    Article  PubMed  Google Scholar 

  49. Hubner WA, Gallistl H, Rutkowski M, Huber ER. Adjustable bulbourethral male sling: experience after 101 cases of moderate to severe male stress urinary incontinence. BJU Int. 2011;107:777–82.

    Article  PubMed  Google Scholar 

  50. Romano SV, Metrebian SE, Vaz F, Muller V, D’Ancona CA, de Souza EA, Nakamura F. Long term results of a phase III multicentre trial of the adjustable male sling for treating urinary incontinence after prostatectomy: minimum 3 years. Actas Urol Esp. 2009;33:309–14.

    Article  PubMed  Google Scholar 

  51. Sousa-Ecandon A, Rodrigues GJI, Uribarri GC, Marques-Queimadelos A. Externally readjustable sling for treatment of male stress urinary incontinence: points of technique and preliminary results. J Endourol. 2004;18:113–8.

    Article  Google Scholar 

  52. Navalon Verdejo P, Pallas Costa Y, Ordono Dominguez F, et al. Our experience in the treatment of male stress urinary incontinence with the male remeex system. Arch Esp Urol. 2010;63:432–9.

    Article  PubMed  Google Scholar 

  53. Sousa-Escandon A, Cabrera J, Mantovani F, Moretti M, Ioanidis E, Kondelidis N, et al. Adjustable suburethral sling (Male Remeex system) in the treatment of male stress urinary incontinence: a multicentric European study. Eur Urol. 2007;52:1473–80.

    Article  PubMed  Google Scholar 

  54. Tuygun C, Imamoglu A, Gucuk A, Goktug G, Demirel F. Comparison of outcomes for adjustable bulbourethral male sling and artificial urinary sphincter after previous artificial urinary sphincter erosion. Urology. 2009;73:1363–7.

    Article  PubMed  Google Scholar 

  55. Dalpiaz O, Knopf HJ, Orth S, Griese K, Aboulsorour S, Truss M. Mid-term complications after placement of the male adjustable suburethral sling: a single center experience. J Urol. 2011;186:604–9.

    Article  PubMed  Google Scholar 

  56. Jiménez Parra JD, Cebrián Lostal JL, Hualde Alfaro A, Alvarez Bandrés S, García D, Torres Varas L, Jiménez Calvo JM, González de Garibay AS. REMEEX system for the treatment of male urinary stress incontinence: our experience. Urologicas Espanolas. 2010;63:432–9.

    Google Scholar 

  57. Hubner WA, Schlarp OM. Treatment of incontinence after prostatectomy using a new minimally invasive device: adjustable continence therapy. BJU Int. 2005;96:587–94.

    Article  PubMed  Google Scholar 

  58. Crivellaro S, Singla A, Aggarwal N, Frea B, Kocjancic E. Adjustable continence therapy (ProACT) and bone anchored male sling: comparison of two new treatments of post prostatectomy incontinence. Int J Urol. 2008;15:910–4.

    Article  PubMed  Google Scholar 

  59. Hoda MR, Primus G, Fischereder K, Von Heydon B, Mohammed N, Schmid N, et al. Early results of a European multicentre experience with a new self-anchoring adjustable transobturator system for treatment of stress urinary incontinence in men. BJU Int. 2012;111:296–303.

    Article  PubMed  Google Scholar 

  60. Athanasopoulos A, McGuire EJ. Efficacy of the bulbourethral autologous sling in treating male stress urinary incontinence: a three-year experience from a single center. Int Urol Nephrol. 2010;42:921–7.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Continence and Urodynamics Unit, Bristol Urological Institute, Southmead Hospital, Office 4, Gate 38, Level 3, Pink Atrium, Brunel Building, Bristol, BS10 5NB, UK

    Christian Nayar BSc, MBChB, PGCE, FRCS (Urol) & Hashim Hashim MRCS(Eng), MD, FEBU, FRCS (Urol)

Authors
  1. Christian Nayar BSc, MBChB, PGCE, FRCS (Urol)
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Hashim Hashim MRCS(Eng), MD, FEBU, FRCS (Urol)
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Hashim Hashim MRCS(Eng), MD, FEBU, FRCS (Urol) .

Editor information

Editors and Affiliations

  1. Univeristy College London Hospitals, London, United Kingdom

    Asif Muneer

  2. Department of Urology, Central Manchester University Hospitals NHS Foundation Trust, Manchester, United Kingdom

    Ian Pearce

  3. Institute of Urology, University College London Hospital, London, United Kingdom

    David Ralph

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Nayar, C., Hashim, H. (2016). Male Urethral Slings. In: Muneer, A., Pearce, I., Ralph, D. (eds) Prosthetic Surgery in Urology. Springer, Cham. https://doi.org/10.1007/978-3-319-13859-6_15

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-13859-6_15

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-13858-9

  • Online ISBN: 978-3-319-13859-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation