How to Best Predict Success of the Transobturator Male Sling

Abstract

Although the male sling is a popular and effective option to treat stress urinary incontinence, the reported success rates are highly variable. Detailed knowledge of the factors affecting male sling outcome can improve clinical efficacy and provide realistic expectations for patients. The objective of this article is to review the current literature that identifies factors associated with surgical outcome, with the goal of optimizing pre-operative selection criteria. Since most practitioners prefer the transobturator approach, the retrourethral transobturator sling (i.e., AdVance™ sling) is the focus of this review.