The AdVance and AdVanceXP male sling in urinary incontinence: is there a difference?

Tanja Hüsch, Alexander Kretschmer, Frauke Thomsen, Dominik Kronlachner, Martin Kurosch, Alice Obaje, Ralf Anding, Ruth Kirschner-Hermanns, Tobias Pottek, Achim Rose, Roberto Olianas, Lukas Lusuardi, Alexander Friedl, Roland Homberg, Jesco Pfitzenmaier, Fabian Queissert, Carsten M. Naumann, Josef Schweiger, Carola Wotzka, Joanne Nyarangi-DixBernhard Brehmer, Rudi Abdunnur, Hagen Loertzer, Kurt Ulm, Wilhelm Hübner, Ricarda M. Bauer, Axel Haferkamp

Research output: Contribution to journalArticlepeer-review

23 Scopus citations

Abstract

Purpose: To compare the efficacy and perioperative complications of the AdVanceXP with the original AdVance male sling. Methods: We retrospectively enrolled 109 patients with an AdVance and 185 patients with an AdVanceXP male sling. The baseline characteristics and complication rates were analyzed retrospectively. Functional outcome and quality of life were evaluated prospectively by standardized, validated questionnaires. The Chi2-test for categorical and Mann–Whitney U test for continuous variables were performed to identify heterogeneity between the groups. Results: Regarding operation time, there was no significant difference between the slings (p = 0.146). The complication rates were comparable in both groups except for postoperative urinary retention. This occurred significantly more often in patients with the AdVanceXP (p = 0.042). During follow-up, no differences could be identified regarding ICIQ-SF, PGI or I-QoL or number of pad usage. Conclusions: The AdVance and AdVanceXP are safe and effective treatment options for male stress urinary incontinence. However, the innovations of the AdVanceXP sling did not demonstrate a superiority over the original AdVance sling regarding functional outcome.

Original languageEnglish
Pages (from-to)1657-1662
Number of pages6
JournalWorld Journal of Urology
Volume36
Issue number10
DOIs
StatePublished - 1 Oct 2018

Keywords

  • AdVance
  • AdVanceXP
  • Male
  • Male sling
  • Stress urinary incontinence

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