Transobturator Sling AdVance® for the Treatment of Male SUI after
Enrique Rijo, Oscar Bielsa, J.A Lorente, Octavio Arango
Department of Urology, Universitat Autonoma de Barcelona, Hospital del Mar, Barcelona, Spain
Despite improved surgical techniques, exist an increasing number of patients
suffering post-prostatectomy stress urinary incontinence (SUI). Some 2-5%
of the patients with incontinence after radical prostatectomy exhibit
a persistent incontinence for >1 yr postoperatively
despite conservative therapy attempts. For these patients surgical treatment
is recommended and the artificial urinary sphincter is still the gold
standard. The retro-urethral transobturator sling (AdVance®) represents
a non-obstructive, functional therapeutic approach.
Int Braz J
Urol. 2010; 36 (Video #7): 518_9
The surgical video by Rijo et al. provides an excellent depiction on the use of a retrourethral transobturator sling in the surgical management of stress urinary incontinence (SUI) post-prostatectomy. As the editor of the video section, I am thrilled in publishing surgical videos of such high-quality both in content and in technical design. As our video section continues to grow exponentially, the emphasis remains on promoting surgical excellence and novel techniques. Surgical videos such as this have elevated the bar and set a new standard for both our contributors and readership. In addition, the authors have provided a very insightful minimally invasive approach to the surgical management of moderate to severe SUI in this patient cohort. Although long-term data is required before we can truly assess the merit of this technique as compared to the artificial urinary sphincter, it nevertheless remains that at centers of excellence such as this, it offers a minimally invasive approach to the management of SUI post-prostatectomy hence it should at the very least be a consideration.
Philippe E. Spiess