TITLE:
Re-Adjustable Male Slings
AUTHORS:
Wilhelm A. Hübner, Nicolai A. Hübner
KEYWORDS:
Re-Adjustable; Adjustable; Male Sling; Argus; Reemex; Atoms; Postprostatectomy-Incontinence
JOURNAL NAME:
Open Journal of Urology,
Vol.3 No.3,
June
26,
2013
ABSTRACT:
Re-adjustable male slings are well established and should be offered to incontinent men with mild, moderate or severe incontinence. However, they should be able to interrupt their stream. Solely the slight increase of the urethral resistance (10 - 15 cmH20) supporting the smooth muscle component will provide continence for such patients. Argus, Remeex and Atoms allow exactly setting the urethral resistance to a level, which will provide continence thus avoiding obstructive voiding. Implantation may be carried out retropubically (Remeex), via a transobturator route (Atoms) or alternatively (Argus). The success rates after more than one-year follow-up come up to 84%. Intraoperative bladder perforations may occur in 6% - 11%, late complications are infections possibly leading to explantation in 8% - 12%. Postoperative perineal pain and/or numbness may be present.