Division of Urology, Sunnybrook Health Sciences Centre, University of Toronto, Ontario, Canada.
BJU Int. 2012 Feb;109(3):328-44. doi: 10.1111/j.1464-410X.2010.10502.x. Epub 2011 Oct 17.
To examine the outcomes and adverse events associated with novel male sling designs described in the last decade.
A literature review was carried out using Medline, EmBase, Cochrane Registered Trials Database and the Center for Reviews and Dissemination Database.
Three principal slings are described in the literature. The bone-anchored sling has success rates of 40-88%, with some series having a mean follow-up of 36-48 months. It is associated with a mesh infection rate of 2-12%, which usually requires sling explantation. The retrourethral transobturator sling has a success rate of 76-91% among three large case series with follow-ups of 12-27 months. There is a low reported explantation rate. The adjustable retropubic sling has a success rate of 72-79% with follow-ups of 26-45 months. Erosion (3-13%) and infection (3-11%) can lead to explantation.
Most male slings have a similar reported efficacy. Most case series define success as either dry or improved. True cure rates are lower. Mid- and long-term data are now available that indicate the male sling is a viable option for PPI. The use of male slings in severe UI, radiated patients, and non-radical prostatectomy patients is still unclear. Further study is needed to try and define criteria for the use of male slings, and to directly compare different procedures.
考察过去十年中描述的新型男性吊带设计的结果和不良事件。
使用 Medline、EmBase、Cochrane 注册试验数据库和综述传播中心数据库进行文献复习。
文献中描述了三种主要的吊带。骨锚定吊带的成功率为 40-88%，一些系列的平均随访时间为 36-48 个月。它与 2-12%的网片感染率相关，通常需要吊带取出。经RetroUrethral 经闭孔吊带在三个大型病例系列中的成功率为 76-91%，随访时间为 12-27 个月。报告的取出率较低。可调节耻骨后吊带的成功率为 72-79%，随访时间为 26-45 个月。侵蚀（3-13%）和感染（3-11%）可导致吊带取出。
大多数男性吊带的报告疗效相似。大多数病例系列将成功定义为干燥或改善。真正的治愈率较低。目前已经有中期和长期的数据表明，男性吊带是 PPI 的一种可行选择。男性吊带在严重的 UI、放射性患者和非根治性前列腺切除术患者中的应用仍不清楚。需要进一步研究，试图确定男性吊带使用的标准，并直接比较不同的手术。
