Kowalik Casey G, DeLong Jessica M, Mourtzinos Arthur P
Lahey Hospital & Medical Center, Institute of Urology, Burlington, Massachusetts.
Neurourol Urodyn. 2015 Mar;34(3):251-4. doi: 10.1002/nau.22539. Epub 2013 Dec 7.
To determine patient-perceived and clinical outcomes of the AdVance sling at 3 years follow-up in men with post-prostatectomy incontinence (PPI).
Data was prospectively collected of men with PPI treated with the AdVance male sling between February 2008 and March 2010. Twenty-four-hour pad counts and weights and patient completed validated questionnaires were obtained pre-operatively and at 3 years. The primary outcome was improvement in pad count with secondary outcomes of questionnaire scores and patient perception of success.
At a median follow-up of 39 months (IQR: 36-44), we identified 30 men meeting inclusion criteria who had the AdVance male sling placed for mild to severe PPI. Eighteen (60%) patients were cured (no pad usage or one pad for security) and an additional 4 (13%) showed improvement (≥50% reduction in pad usage). Eight (27%) patients failed: six patients underwent seven salvage procedures including urethral bulking with collagen (n = 1), Virtue perineal sling (n = 1), and artificial urinary sphincter (n = 5). There were 16 post-operative complications: 13 Clavien I, 2 Clavien II, and 1 Clavien IIIb.
AdVance male sling is an effective treatment option for PPI evidenced by objective improvements in 24-hr pad count and pad weight and patient perceived success via validated questionnaires.
确定前列腺切除术后尿失禁（PPI）男性患者使用AdVance吊带3年随访的患者自我感知结局和临床结局。
前瞻性收集2008年2月至2010年3月间接受AdVance男性吊带治疗的PPI男性患者的数据。术前及3年时获取24小时尿垫计数、重量以及患者完成的有效问卷。主要结局是尿垫计数的改善，次要结局是问卷评分及患者对治疗成功的感知。
中位随访39个月（四分位间距：36 - 44个月），我们确定30名符合纳入标准的男性患者因轻至重度PPI放置了AdVance男性吊带。18名（60%）患者治愈（无需使用尿垫或仅使用一片尿垫以防万一），另外4名（13%）患者有改善（尿垫使用减少≥50%）。8名（27%）患者治疗失败：6名患者接受了7次挽救手术，包括胶原尿道填充（n = 1）、Virtue会阴吊带（n = 1）和人工尿道括约肌植入（n = 5）。术后有16例并发症：13例Clavien I级，2例Clavien II级，1例Clavien IIIb级。
AdVance男性吊带是治疗PPI的有效选择，24小时尿垫计数和尿垫重量的客观改善以及通过有效问卷得出的患者对治疗成功的感知证明了这一点。
