The AdVance Transobturator Male Sling

  • Oscar A. Suárez
  • Amanda S. Chung
  • Kurt A. McCammon


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.


Urinary incontinence Urinary incontinence, stress Male sling Post-prostatectomy incontinence 


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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Oscar A. Suárez
    • 1
  • Amanda S. Chung
    • 2
  • Kurt A. McCammon
    • 2
  1. 1.Hospital San José Tecnológico de MonterreyMonterrey, N.L.USA
  2. 2.Eastern Virginia Medical SchoolVirginia BeachUSA

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