You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Male Incontinence: Therapy1 Apr 2017MP46-19 MID-TERM FOLLOW UP OF THE ADVANCE XP SLING IN THE TREATMENT OF POST-PROSTATECTOMY STRESS URINARY INCONTINENCE – FIRST 4-YEAR RESULTS FROM A PROSPECTIVE MULTICENTER TRIAL Markus Grabbert, Benedikt Klehr, Alexander Kretschmer, Christian Gozzi, Peter Rehder, Roland Homberg, Florian May, Peter Gebhartl, Christian Stief, and Ricarda Bauer Markus GrabbertMarkus Grabbert More articles by this author , Benedikt KlehrBenedikt Klehr More articles by this author , Alexander KretschmerAlexander Kretschmer More articles by this author , Christian GozziChristian Gozzi More articles by this author , Peter RehderPeter Rehder More articles by this author , Roland HombergRoland Homberg More articles by this author , Florian MayFlorian May More articles by this author , Peter GebhartlPeter Gebhartl More articles by this author , Christian StiefChristian Stief More articles by this author , and Ricarda BauerRicarda Bauer More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.1458AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES In recent years, several studies showed the effectiveness and safety of the AdVance sling for the treatment of male stress urinary incontinence (SUI). In 2010 the second generation of Advance, the AdVance XP was introduced. Aim of the study was to evaluate the efficacy and safety of the AdVance XP sling in male SUI after radical prostatectomy in a prospective multicenter study. METHODS In total 115 patients were included. Patients with urine nocturnal incontinence, previous incontinence surgery, previous radiotherapy and coaptive zone <1cm in the preoperative repositioning test were excluded. Postoperatively, a standardized 24-hour-pad test, quality of life scores (IQOL and ICIQ-UI SF), VAS for pain, IIEF5, IPSS and PGI-score were performed. All patients with 0-5g in the pad test were defined as cured and improved with a reduction of urine loss >50%. All others were classified as failures. Significance analysis was performed with the help of Wilcoxon-test. RESULTS Mean preoperative urine loss in the 24h pad-test was 272.0 g (median 272.0 g). After a follow-up of 3 months (n= 114) 64.9% of the patients were cured and 31.6% improved. Mean urine loss decreased significantly to 34.9 g (p<.001). After a follow-up of 24 months (n= 80) 68.8% of the patients were cured and 22.5% improved. Mean urine loss decreased significantly to 19.1 g (p<.001). After a follow-up of 36 months (n= 47) 66.0% of the patients were cured and 23.4% improved. Mean urine loss decreased significantly to 21.8 g (p<.001). After a follow-up of 48 months (n= 15) 60.0% of the patients were cured and 20% improved. Mean urine loss decreased significantly to 21.8 g (p<.001). There were no lost to follow-up. Overall patients reported of no relevant pain (mean VAS: 0.5) and the patients' satisfaction was high (mean PGI: 1.5). Mean I-QoL and ICIQ-UI SF improved significantly (p<.001, respectively) at maximum follow-up. There were no significant postoperative changes in IIEF5 and IPSS. No intraoperative and no long-term complications occurred. No erosion or explanations occurred. CONCLUSIONS The AdVance XP shows good and stable effectiveness and low complication rates even in a mid-term follow-up of up to 4 years. Our results though highlight the importance of adequate preoperative patient selection. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e627 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Markus Grabbert More articles by this author Benedikt Klehr More articles by this author Alexander Kretschmer More articles by this author Christian Gozzi More articles by this author Peter Rehder More articles by this author Roland Homberg More articles by this author Florian May More articles by this author Peter Gebhartl More articles by this author Christian Stief More articles by this author Ricarda Bauer More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...