Virtue male sling outcomes and application to a contemporary nomogram
INTRODUCTION To report outcomes of our Virtue male sling series and evaluate predictors of surgical success and failure. We also retrofit the Male Stress Incontinence Grading Scale (MSIGS) refined nomogram, including the standing cough test (SCT), to assess its application to our cohort.
MATERIALS AND METHODS: A retrospective review was completed at a single institution over a 4 year period of all Virtue male slings implanted for stress urinary incontinence (SUI). Patient demographics including pad usage per day (PPD) and MSIGS were obtained on all patients after their bladders were filled cystoscopically. Failure was defined as > 1 PPD and/or conversion to another anti-incontinence procedure. Incidence, management and outcomes of complications were also evaluated.
RESULTS: Forty-six men who underwent Virtue male sling at a median follow up of 15.6 months were analyzed with an objective success rate of 78% and a subjective success rate of 85%. Preoperative predictors of surgical success were ability to stop stream on physical exam, lack of total incontinence and no history of posterior urethral stricture. MSIGS alone was not predictive of sling success or failure. Penile numbness occurred in 11% of patients and reoperation with incision of the sutured together transobturator arms improved sensation in all patients.
CONCLUSION: Virtue male sling has high objective and subjective success rates with a manageable side effect profile. Evidence of residual sphincteric function appears to be more predictive of sling success rather than MSIGS.
| Errataetall: |
CommentIn: Can J Urol. 2021 Apr;28(2):10631. - PMID 33872563 |
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| Medienart: |
Artikel |
| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:28 |
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| Enthalten in: |
The Canadian journal of urology - 28(2021), 2 vom: 15. Apr., Seite 10625-10630 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Abramowitz, David [VerfasserIn] |
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| Themen: |
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| Anmerkungen: |
Date Completed 18.11.2021 Date Revised 18.11.2021 published: Print CommentIn: Can J Urol. 2021 Apr;28(2):10631. - PMID 33872563 Citation Status MEDLINE |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM324271573 |
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| 100 | 1 | |a Abramowitz, David |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Virtue male sling outcomes and application to a contemporary nomogram |
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| 500 | |a CommentIn: Can J Urol. 2021 Apr;28(2):10631. - PMID 33872563 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a INTRODUCTION To report outcomes of our Virtue male sling series and evaluate predictors of surgical success and failure. We also retrofit the Male Stress Incontinence Grading Scale (MSIGS) refined nomogram, including the standing cough test (SCT), to assess its application to our cohort | ||
| 520 | |a MATERIALS AND METHODS: A retrospective review was completed at a single institution over a 4 year period of all Virtue male slings implanted for stress urinary incontinence (SUI). Patient demographics including pad usage per day (PPD) and MSIGS were obtained on all patients after their bladders were filled cystoscopically. Failure was defined as > 1 PPD and/or conversion to another anti-incontinence procedure. Incidence, management and outcomes of complications were also evaluated | ||
| 520 | |a RESULTS: Forty-six men who underwent Virtue male sling at a median follow up of 15.6 months were analyzed with an objective success rate of 78% and a subjective success rate of 85%. Preoperative predictors of surgical success were ability to stop stream on physical exam, lack of total incontinence and no history of posterior urethral stricture. MSIGS alone was not predictive of sling success or failure. Penile numbness occurred in 11% of patients and reoperation with incision of the sutured together transobturator arms improved sensation in all patients | ||
| 520 | |a CONCLUSION: Virtue male sling has high objective and subjective success rates with a manageable side effect profile. Evidence of residual sphincteric function appears to be more predictive of sling success rather than MSIGS | ||
| 650 | 4 | |a Journal Article | |
| 700 | 1 | |a Sam, Andre-Philippe |e verfasserin |4 aut | |
| 700 | 1 | |a Pachorek, Mark |e verfasserin |4 aut | |
| 700 | 1 | |a Shen, Jim |e verfasserin |4 aut | |
| 700 | 1 | |a Ruel, Nora |e verfasserin |4 aut | |
| 700 | 1 | |a Warner, Jonathan N |e verfasserin |4 aut | |
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