Modified Sling Midurethral Suspension + Hemolock Fixation Technique for Male Urinary Incontinence: A Pilot Study

Abstract

To demonstrate the feasibility of a modified midurethral sling+hemolock fixation technique for treating male urinary incontinence. This study aims to provide a preliminary assessment of the short-term clinical efficacy of this technique. We collected the clinical data of patients treated with modified sling midurethral suspension+hemolock fixation technique. The primary evaluation criteria were surgery-related indicators and daily urinal pad usage by patients before and after treatment, and the secondary evaluation criteria were the corresponding incontinence scores and the results of surgery-related questionnaires. Follow-up 1-7months, eight patients achieved a clinical cure. Follow-up 1month after surgery showed that two patients (25.0%) used one pad daily and six patients (75.0%) did not need pads. The incontinence quality of life questionnaire (I-QOL) scores were (86.0±7.0) and (89.0±3.0) at three postoperative days and one postoperative month, respectively, which were significantly higher than the preoperative scores (26.0±6.0) (P<.05). The scores of the International Continence Control Association Incontinence Questionnaire Short Form (ICI-Q-SF) at three postoperative days and one postoperative month were (4.0±2.0) and (4.0±1.0), respectively, which were significantly lower than the preoperative scores of (18.0±1.0) (P<.05). Besides, the results of the surgery-related questionnaires were positive. The short-term efficacy of the modified sling midurethral suspension+hemolock fixation technique for the treatment of male urinary incontinence patients is safe, effective, minimally invasive, and has few complications. However, further validation in large samples, randomized, comparative, and longer-term follow-up studies is still needed.