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Posted by on Nov 13, 2017 in Urinary incontinence | 0 comments

In a nutshell

This study compared adjustable and non-adjustable slings used in males after prostate surgery to help with bladder control. The study found that more patients chose the adjustable type, but no difference was found in symptoms or patient satisfaction between the two types of sling.

Some background

Surgical removal of the prostate can lead to bladder problems such as urine leakage (incontinence). Adjustable or non-adjustable male slings are used to support the bladder and prevent these symptoms.  It is necessary to compare the two types of sling to note any benefits or differences.

Methods & findings

Male slings were inserted into 44 patients (25 [57%] adjustable, 19 [43%] non-adjustable). More men chose the adjustable sling as they believed it could be tightened if they still had symptoms. Men with the non-adjustable sling liked the idea of a single operation.

92% of patients with adjustable slings had successful bladder control, compared to 84% of patients with non-adjustable sling. This difference was not statistically significant.

All patients had improvement in lifestyle and social life after the surgeries.

The bottom line

The study found no significant difference in patient satisfaction and clinical symptoms between the adjustable and non-adjustable slings.

The fine print

The study had a small number of patients and did not follow the patients long-term.

What’s next?

Discuss with your surgeon about the best sling option for you.

Published By :

Neurourology and urodynamics

Date :

Apr 05, 2016

Original Title :

Adjustable versus non-adjustable male sling for post-prostatectomy urinary incontinence: A prospective clinical trial comparing patient choice, clinical outcomes and satisfaction rate with a minimum follow up of 24 months.

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