The Virtue™ Quadratic Sling for Post-prostatectomy Incontinence

Chapter

Abstract

The male sling is the preferred surgical treatment for mild to moderate post-prostatectomy stress urinary incontinence. The Virtue male sling is a hybrid device, combining proximal relocation of the membranous urethra and compression of the bulbous urethra, relying on quadratic fixation of both a trans-obturator and a pre-pubic component. By incorporating a novel method of sling fixation, with appropriate sling tensioning to a retrograde leak point pressure of 60–70 cm water, subjective and objective success rates are 71% and 79% respectively, with a median pad weight reduction of 88% at 12 months. Baseline degree of incontinence and adjuvant radiation do not appear to adversely affect sling success, and there have no reports of prolonged urinary retention or sling erosion. The quadratic male sling adds to the surgical armamentarium for the treatment of intrinsic sphincter deficiency.

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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Department of UrologyStanford University School of MedicineStanfordUSA

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