061 The male sub-urethral sling versus the artificial urinary sphincter for treatment of stress urinary incontinence

Abstract

An increasing number of men are seeking surgical treatment for stress urinary incontinence (SUI). With the emergence of the less invasive sub-urethral slings, the dominance of the Artificial Urinary Sphincter (AUS) has been challenged. We have looked at our series of surgically treated, male SUI in a regional implant centre to compare outcomes from both modalities and identify risk factors for failure. This was a prospective study, incorporating all prostheses patients over 3 years. The groupe were matched for age and aetiology of incontinence. ... The major risk factor for complications, in both groups, was the combination of radical prostatectomy and radiotherapy. In the AUS group, 8 patients had undergone both. 4/8 had complications and 2/8 suffered erosions requiring staged reconstruction. In the sling group, 3 patients had undergone dual treatment and 2/3 of them failed to improve sufficiently. These patients have both been subsequently offered AUS insertion.