| |
Bone Anchored Male Urethral Sling for Male Urinary Incontinence
Back to 77th Annual Meeting
Back to Program Outline
Bone Anchored Male Urethral Sling for Male Urinary Incontinence
Sarah R. Marietti, M.D.1, Kisseng Hsieh, M.D.1, Marlene Murphy-Setzko, M.D.2.
1University of Connecticut, West Hartford, CT, USA, 2St. Francis Hospital, Hartford, CT, USA.
Purpose: Male urinary incontinence presents a significant problem for a large number of men following prostatectomy and occasionally trans-urethral resection of the prostate, with enormous effects on quality of life. Currently, the use of male urethral slings has been explored as a treatment option for these patients. We present our current series of the use of bone anchored male urethral slings in men with urinary incontinence.
Materials and Methods: Between 2002 and 2005 a total of 61 patients were identified as having undergone bulbourethral sling placement via bone anchored sling technique at a single institution. Follow up information was available for 58 patients. A retrospective chart review was performed to assess both pre-operative and post-operative pad usage, level of satisfaction, cause of incontinence, history of radiation, previous failed incontinence procedures, and complications if any.
Results: Of the 58 patients evaluated, the mean age was 71 with a range of 52-91. Forty-six patients had undergone radical retropubic prostatectomy, 3 TURP, 9 perineal prostatectomy, and 11 had received radiation prior to sling placement. Sixteen patients had previously been implanted with collagen, unsuccessfully and 15 patients had prior optical internal urethrotomy for urethral stricture. Thirty-eight patients were considered cured, defined as no pad usage or less than 1 light pad per day. Four patients were improved in number of pad usage. Sixteen patients had no change in pad usage. Mean follow up was 7 months, with a range of 1-24 months. Two patients underwent sling replacement after failure following bone dislodgment from motor vehicle accidents. Two patients had slings removed for infection, and 2 were removed for chronic pain following placement.
Conclusions: In men undergoing bone anchored slings, overall 42 patients (72%) were improved with most patients wearing less than 1 thin pad per day. Six patients underwent removal secondary to screw dislodgment and failure, infection or chronic pain. Bone anchored male urethral sling is an effective treatment for male urinary incontinence.
Back to 77th Annual Meeting
Back to Program Outline
|
|
