Abstract
Objective: To evaluate prospectively the value of the ‘repositioningtest’ (RT) in preoperative patient selection for the efficacy of malestress urinary incontinence (SUI) treatment using a retroluminartransobturator male sling (AdVance sling). Patients and Methods: 65consecutive patients with SUI after radical prostatectomy were includedin this single-center prospective study. Preoperatively, patients wereclassified into those with ‘positive’ and ‘negative’ RT. Postoperativeresults were analyzed and the association between the result of the RTand postoperative outcome was evaluated. Results: 53 patients (81.5%)showed preoperatively a positive RT and 12 patients (18.5%) a negativeRT. After a follow-up of 12 months, patients with positive RT showed acure rate (0 pads/day) of 83% and patients with a negative RT showedonly a cure rate of 25%. A positive RT significantly correlated withcure in outcome (p < 0.001). Conclusions: Patients with positive RT havea significantly better chance for successful AdVance sling implantation.The RT is minimally invasive, easy to learn and easy to perform.Therefore, the RT is a very useful tool for preoperative patientselection.
Dokumententyp: | Zeitschriftenartikel |
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Fakultät: | Medizin |
Themengebiete: | 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit |
URN: | urn:nbn:de:bvb:19-epub-21795-3 |
ISSN: | 0042-1138 |
Allianz-/Nationallizenz: | Dieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-geförderten) Allianz- bzw. Nationallizenz frei zugänglich. |
Sprache: | Englisch |
Dokumenten ID: | 21795 |
Datum der Veröffentlichung auf Open Access LMU: | 22. Okt. 2014, 12:59 |
Letzte Änderungen: | 04. Nov. 2020, 13:02 |