UP-1.78: The adjustable transobturator tape (TOT) for post-prostatectomy incontinence

Abstract

Introduction: Post-prostatectomy stress urinary incontinence (PPI) is a serious complication that affects patients’ quality of life. There is no pharmacological treatment approved for male stres urinary incontinence. The artificial urinary sphincter is the current ‘gold standard’ for the surgical treatment of incontinence after PPI. In this retrospective study, we aimed to evaluate the efficiency and safety of adjustable transobturator sling material (Argus T) in male post-prostatectomy stress urinary incontinence. Material and Methods: Between 2008 and 2010, 12 patients following radical retropubic prostatectomy, and 24 patients after transurethral resection of prostate, a total of 36 patients had PPI were treated with Argus T. Results: Median follow-up was 30 months. Total cure rate was 61.1% (22 patients) and partial success rate was 25% (9 patients). Four patients (11.1%) were failed despite readjustment procedure. In one case (2.8%) the sling was removed. Conclusion: Transobturator bulbourethral sling is a cost effective minimally invasive technique for treating SUI after prostatectomy in selected patients with mild to moderate incontinence. Our results represent the effectivity of the procedure. Larger scaled studies with longer follow up periods may help to confirm these findings.