Skip to main content
SpringerLink
Log in

The AdVance Transobturator Male Sling

  • Chapter
  • First Online:
Post-Prostatectomy Incontinence

Abstract

The AdVance Transobturator Male Sling (American Medical Systems, Minnetonka, MN, USA) is a minimally invasive bulbourethral sling, which has been shown to be safe and efficacious in the treatment of men with mild-to-moderate stress urinary incontinence, particularly in the post-prostatectomy cohort. This chapter discusses the mode of action, preoperative patient selection and evaluation, surgical technique, postoperative care, outcomes, complications, and salvage maneuvers, regarding utilization of the AdVance sling. Several theories exist regarding the mode of action of the sling in effecting continence. The sling has also been used for the treatment of other types of stress urinary incontinence, such as in neurogenic incontinent patients though with caution. Previous radiation and detrusor overactivity seem to be negative predictive factors of sling success. In general, complications are minimal. Sling failures can be managed by repeat sling insertion in some cases or insertion of an artificial urinary sphincter.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 99.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Suarez OA, McCammon KA. The artificial urinary sphincter in the management of incontinence. Urology. 2016;92:14–9.

    Article  PubMed  Google Scholar 

  2. Kumar A, Litt ER, Ballert KN, Nitti VW. Artificial urinary sphincter versus male sling for post-prostatectomy incontinence—what do patients choose? J Urol. 2009;181:1231–5.

    Article  PubMed  Google Scholar 

  3. Rehder P, Gozzi C. Transobturator sling suspension for male urinary incontinence including post-radical prostatectomy. Eur Urol. 2007;52:860–7.

    Article  PubMed  Google Scholar 

  4. Ridder DD, Rehder P. The AdVance® male sling: anatomic features in relation to mode of action. Eur Urol. 2011;10:383–9.

    Article  Google Scholar 

  5. Habashy D, Losco G, Tse V, Collins R, Chan L. Mid-term outcomes of a male retrourethral, transobturator synthetic sling for the treatment of post-prostatectomy incontinence: impact of radiotherapy and storage dysfunction. Neurourol Urodyn. 2016; doi:10.1002/nau.23078.

    PubMed  Google Scholar 

  6. Davies OD, Bepple JL, McCammon KA. Urodynamic changes and initial results of the AdVance male sling. Urology. 2009;74:354–8.

    Article  PubMed  Google Scholar 

  7. Soljanik I, Becker AJ, Stief CG, Gozzi C, Bauer RM. Urodynamic parameters after retrourethral transobturator male sling and their influence on outcome. Urology. 2011;78:708–14.

    Article  PubMed  Google Scholar 

  8. Comiter CV. Surgery insight: surgical management of post-prostatectomy incontinence: the artificial urinary and male sling. Nat Clin Pract Urol. 2007;4:615–24.

    Article  PubMed  Google Scholar 

  9. Zuckerman JM, Edwards B, Henderson K, Beydoun HA, McCammon KA. Extended outcomes in the treatment of male stress urinary incontinence with a transobturator sling. Urology. 2014;83:939–45.

    Article  PubMed  Google Scholar 

  10. Bauer RM, Mayer ME, Gratzke C, Soljanik I, Buchner A, Bastian PJ, et al. Prospective evaluation of the functional sling suspension for male postprostatectomy stress urinary incontinence: results after 1 year. Eur Urol. 2009;56:928–33.

    Article  PubMed  Google Scholar 

  11. Bauer RM, Gozzi C, Roosen A, Khoder W, Trottmann M, Waidelich R, et al. Impact of the ‘repositioning test’ on post-operative outcome of retroluminar transobturator male sling implantation. Urol Int. 2013;90:334–8.

    Article  PubMed  Google Scholar 

  12. Rehder P, Freiin von Gleissenthall G, Pichler R, Glodny B. The treatment of postprostatectomy incontinence with the retroluminal transobturator repositioning sling (AdVance): lessons learnt from accumulative experience. Arch Esp Urol. 2009;62:860–70.

    Article  PubMed  Google Scholar 

  13. Comiter CV, Dobberfuhl AD. The artificial urinary sphincter and male sling for postprostatectomy incontinence: which patient should get which procedure? Investig Clin Urol. 2016;57:3–13.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Torrey R, Rajeshuni N, Ruel N, Muldrew S, Chan K. Radiation history affects continence outcomes after AdVance transobturator sling placement in patients with post-prostatectomy incontinence. Urology. 2013;82:713–7.

    Article  PubMed  Google Scholar 

  15. Groen LA, Spinoit AF, Hoebeke P, Van Laecke E, De Troyer B, Everaert K. The AdVance male sling as a minimally invasive treatment for intrinsic sphincter deficiency in patients with neurogenic bladder sphincter dysfunction: a pilot study. Neurourol Urodyn. 2012;31:1284–7.

    Article  PubMed  Google Scholar 

  16. Rehder P, Haab F, Cornu JN, Gozzi C, Bauer RM. Treatment of postprostatectomy male urinary incontinence with the transobturator retroluminal repositioning sling suspension: 3-year follow-up. Eur Urol. 2012;62:140–5.

    Article  PubMed  Google Scholar 

  17. Kowalik CG, DeLong JM, Mourtzinos AP. The AdVance transobturator male sling for post-prostatectomy incontinence: subjective and objective outcomes with 3 years follow up. Neurourol Urodyn. 2015;34:251–4.

    Article  PubMed  Google Scholar 

  18. Bauer RM, Mayer ME, May F, Gratzke C, Buchner A, Soljanik I, et al. Complications of the AdVance transobturator male sling in the treatment of male stress urinary incontinence. Urology. 2010;75:1494–8.

    Article  PubMed  Google Scholar 

  19. Harris SE, Guralnick ML, O’Connor RC. Urethral erosion of transobturator male sling. Urology. 2009;73:443 e19.

    Article  Google Scholar 

  20. Kim PH, Pinheiro LC, Atoria CL, Eastham JA, Sandhu JS, Elkin EB. Trends in the use of incontinence procedures after radical prostatectomy: a population based analysis. J Urol. 2013;189:602–8.

    Article  PubMed  Google Scholar 

  21. Belot PY, Fassi-Fehri H, Crouzet S, Coda R, Badet L, Gelet A, et al. Treatment of stress urinary incontinence after prostate surgery: results of the artificial urinary sphincter after suburethral sling failure. Prog Urol. 2012;22:644–9.

    Article  PubMed  Google Scholar 

  22. Lentz AC, Peterson AC, Webster GD. Outcomes following artificial sphincter implantation after prior unsuccessful male sling. J Urol. 2012;187:2149–53.

    Article  PubMed  Google Scholar 

  23. Al-Najar A, Kaufmann S, Boy S, Naumann CM, Junemann PK, Van Der Horst C. Management of recurrent post-prostatectomy incontinence after previous failed retrourethral male slings. Can Urol Assoc J. 2011;5:107.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Martinez EJ, Zuckerman JM, Henderson K, Edwards B, McCammon KA. Evaluation of salvage male transobturator sling placement following recurrent stress urinary incontinence after failed transobturator sling. Urology. 2015;85:478–82.

    Article  PubMed  Google Scholar 

  25. Soljanik I, Becker AJ, Stief CG, et al. Repeat retrourethral transobturator sling in the management of recurrent postprostatectomy stress urinary incontinence after failed first male sling. Eur Urol. 2010;58:767–72.

    Article  PubMed  Google Scholar 

  26. Bauer RM, Gozzi C, Klehr B, Kretschmer A, Grabbert M, Rehder P, et al. AdVanceXP male sling: 2-year results of a multicenter study. World J Urol. 2016;34:1025–30.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Hospital San José Tecnológico de Monterrey, Urología TecSalud, Av Morones Prieto 3000 Poniente, Los Doctores, 64710, Monterrey, N.L., MEXICO, USA

    Oscar A. Suárez

  2. Eastern Virginia Medical School, 225 Clearfield Avenue, Virginia Beach, VA, 23462, USA

    Amanda S. Chung & Kurt A. McCammon

Authors
  1. Oscar A. Suárez
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Amanda S. Chung
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Kurt A. McCammon
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Oscar A. Suárez .

Editor information

Editors and Affiliations

  1. Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA

    Ajay Singla

  2. Department of Urology, Stanford University School of Medicine, Stanford, California, USA

    Craig Comiter

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

Suárez, O.A., Chung, A.S., McCammon, K.A. (2017). The AdVance Transobturator Male Sling. In: Singla, A., Comiter, C. (eds) Post-Prostatectomy Incontinence. Springer, Cham. https://doi.org/10.1007/978-3-319-55829-5_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-55829-5_6

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-55827-1

  • Online ISBN: 978-3-319-55829-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation