Traitement de l'incontinence urinaire d'effort masculine par bandelette sous-urétrale selon le procédé InVance ® : technique et indications

Abstract

The surgical treatment of effort-induced urinary incontinence in males by perineal urethra compression is a concept that has been described in the 1960s; its basic principle, the correction of incontinence episodes in the sitting position, has been developed in the 1970s by Kaufman. After numerous tests on prosthetic materials, Comiter has reviewed this principle in 2002 with the description of an implantation by perineal access of a silicone coated prosthetic polyester canvas with multiple perforations, fixed by bone attachment on the ischio-pubic branches, and marketed by AMS company as InVance™ Male Sling System. This technique is especially indicated to patients with mild to moderate effort-induced urinary incontinence, following prostate surgery without subsequent radiotherapy.