Chung Eric
AndroUrology Centre, Suite 3, 530 Boundary Street, Brisbane, QLD 4000, Australia.
Department of Urology, Princess Alexandra Hospital, University of Queensland, Brisbane, QLD, Australia.
Ther Adv Urol. 2023 Jul 25;15:17562872231187199. doi: 10.1177/17562872231187199. eCollection 2023 Jan-Dec.
Synthetic male sling (MS) is considered an effective surgical treatment to restore male stress urinary incontinence. The modern MS can be categorised into adjustable or non-adjustable types, while the surgical techniques can be divided into retropubic or transobturator approaches. This narrative review paper evaluates the contemporary MS devices in the current commercial market regarding clinical outcomes and refinements in surgical techniques. Scientific advances in device design and technology, coupled with further surgical refinements will enhance the clinical outcomes and improve the safety profile of MS surgery. The newer generation of modern MS not only provides direct compression of the bulbar urethra but also allows for proximal urethral relocation by realigning the mobile sphincter complex to provide further urethral sphincter complex coaptation. Strict patient selection, use of MS with proven clinical records, adherence to safe surgical principles and judicious postoperative care are critical to ensure a high continence rate, good patient satisfaction and low postoperative complications.
合成男性吊带（MS）被认为是恢复男性压力性尿失禁的一种有效手术治疗方法。现代MS可分为可调节型或不可调节型，而手术技术可分为耻骨后或经闭孔入路。这篇叙述性综述文章评估了当前商业市场上当代MS装置的临床结果和手术技术的改进。装置设计和技术的科学进步，再加上进一步的手术改进，将提高临床结果并改善MS手术的安全性。新一代现代MS不仅能直接压迫球部尿道，还能通过重新调整可移动括约肌复合体来实现近端尿道复位，以进一步使尿道括约肌复合体贴合。严格的患者选择、使用有可靠临床记录的MS、遵循安全的手术原则以及明智的术后护理对于确保高控尿率、良好的患者满意度和低术后并发症至关重要。
