Bulking Agents for Urinary and Fecal Incontinence
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The incidence of SUI after radical prostatectomy has been reported to range from 8% to 47% [1–4], whereas the incidence of SUI after benign prostatic surgery has been reported to be 0.5% . When conservative treatment fails, surgical treatment should be considered. AUS is considered the gold standard treatment for male SUI, with a success rate ranging from 59% to 90% and a patient satisfaction rate of 76% [6, 7]. However, the revision rate for AUS is relatively high (20% to 29%) owing to infection, urethral erosion, and mechanical failure [6, 7]. Compared with AUS, a male sling operation has several advantages, including the absence of mechanical problems, no need for device training, immediate efficacy, and an overall reduced revision rate. The success rate of a male sling operation ranges from 54% to 83% [8, 9]. However, urinary retention, erosion, infection, system dislocation, and persistent pain are possible complications of a male sling operation, whereas technical difficulty is another problem in patients who have undergone radical pelvic surgery .
We thank Diego Coletta, Norma Depalma, and Ilaria Clementi for contributing to the realization of this chapter.
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