NDLI: Évaluation multicentrique de la bandelette sous-urétrale Advance ® dans le traitement de l'incontinence urinaire masculine postopératoire.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Mascle, L. Descazeaud, A. Robert, G. Bernhard, J-C Bensadoun, H. Ferrière, J-M Ballanger, P. Pasticier, G.
Spatial Coverage	France
Description	Author Affiliation: Mascle L ( Service d'urologie, CHU de Bordeaux, place Amélie-Raba-Leon, 33000 Bordeaux, France); Descazeaud A ( Service d'urologie, CHU de Limoges, 2, avenue Martin-Luther-King, 87042 Limoges, France. Electronic address: aurelien.descazeaud@chu-limoges.fr.); Robert G ( Service d'urologie, CHU de Bordeaux, place Amélie-Raba-Leon, 33000 Bordeaux, France. Electronic address: gregoire.robert@chu-bordeaux.fr.); Bernhard JC ( Service d'urologie, CHU de Bordeaux, place Amélie-Raba-Leon, 33000 Bordeaux, France. Electronic address: jcb31000@hotmail.com.); Bensadoun H ( Service d'urologie, CHU de Bordeaux, place Amélie-Raba-Leon, 33000 Bordeaux, France. Electronic address: henri.bensadoun@chu-bordeaux.fr.); Ferrière JM ( Service d'urologie, CHU de Bordeaux, place Amélie-Raba-Leon, 33000 Bordeaux, France. Electronic address: jean-marie.ferriere@chu-bordeaux.fr.); Ballanger P ( Service d'urologie, CHU de Bordeaux, place Amélie-Raba-Leon, 33000 Bordeaux, France. Electronic address: philippe.ballanger@chu-bordeaux.fr.); Pasticier G ( Service d'urologie, CHU de Bordeaux, place Amélie-Raba-Leon, 33000 Bordeaux, France. Electronic address: gilles.pasticier@chu-bordeaux.fr.)
Abstract	OBJECTIVES: To estimate in the medium term, the efficiency and morbidity of Advance(®) for the treatment of postoperative urinary incontinence for male, and determine predictive preoperative factors of success or failure. MATERIAL AND METHODS: Retrospective multicentric clinical study of patients presenting a postoperative urinary incontinence and treated by Advance(®) suburethral sling. The importance of the preoperative incontinence was classified in three groups: light (pad-test<50 g/day or 1 pad/day), moderated (pad-test between 50 and 100 g/day or 2 or 3 pads/day), severe (pad-test>100 g/day or >3 pads/day). The functional results were classified in 4 categories: continence and improvement, defining the criterion of success and unchanged situation and deteriorated situation defining the criterion of failure. RESULTS: Sixty-six patients were included from 2008 till 2013. The radical prostatectomy was responsible in 85.5% of the cases. The incontinence was light, moderated and severe for respectively 43.4%, 35.6% and 21% of the patients. After treatment, 39.4% of the patients were continent and 78.9% in situation of success. The rate of success decreased with the severity of the incontinence (respectively 94%, 74% and 56%). For 9 patients, implantation of artificial urinary sphincter was performed without operative difficulties. Complications were urine retention (n=4), hematoma (n=3) and scrotal pains persistent more than one postoperative month (n=11). CONCLUSION: Advance(®) suburethral sling is a technique in which the efficiency decreases with the severity of the incontinence, but which does not seem to prevent from implanting artificial urinary sphincter. Its main problem is the apparition of scrotal pain.
File Format	HTM / HTML
ISSN	11667087
Issue Number	5
Volume Number	25
Journal	Progr`es en Urologie
Language	French
Publisher	Elsevier
Publisher Date	2015-04-01
Publisher Place	France
Access Restriction	Subscribed
Subject Keyword	Adverse Effects Discipline Urology Humans Male Treatment Outcome English Abstract Journal Article Suburethral Slings Etiology Urologic Surgical Procedures, Male Prostatectomy Multicenter Study Retrospective Studies Diagnosis France Severity Of Illness Index Postoperative Complications Urinary Incontinence Methods
Alternative Title	Multicenter study of Advance ® suburethral sling for treatment of postoperative urinary incontinence of male
Content Type	Text
Resource Type	Article
Subject	Urology

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