Editorial Comment

Abstract

This prospective study adds another technique to the growing armamentarium for the treatment of mild to moderate postprostatectomy stress incontinence. For severe incontinence, the artificial urinary sphincter remains the gold standard. The risk of erosion and relatively high reoperation rates, and the need for physical manipulation of a pump by elderly patients has increased the popularity of male slings in patients with less severe incontinence. I-Stop TOMS Transobturator Male Sling, a Minimally Invasive Treatment for Post-prostatectomy Incontinence: Continence Improvement and TolerabilityUrologyVol. 79Issue 2PreviewTo prospectively evaluate the efficacy and tolerability of the I-STOP TOMS transobturator male sling in patients with post-prostatectomy stress urinary incontinence. Minimally invasive techniques, such as slings, are becoming the standard of care for mild to moderate post-prostatectomy incontinence. Full-Text PDF ReplyUrologyVol. 79Issue 2PreviewWe agree with the comment on the growing number of male slings for the treatment of mild to moderate postprostatectomy incontinence. The I-STOP TOMS technique was first described in 2006 and results of the 2-arms initial device showed a good tolerance and a very low rate of urinary retention.1 The 4-arms I-STOP TOMS male sling is original. It was specially designed to adjust the tension of the sling precisely on the upper part and the lower part of the sling on the bulbar urethra. It is the only one, to our knowledge, to permit a 4-corner tension on the sling, thus avoiding a flap effect of slings maintained only in the middle part. Full-Text PDF