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Bauer, Ricarda M.; Gozzi, Christian; Roosen, Alexander; Khoder, Wael; Trottmann, Matthias; Waidelich, Raphaela; Stief, Christian G.; Soljanik, Irina (2013): Impact of the ‘Repositioning Test’ on Postoperative Outcome of Retroluminar Transobturator Male Sling Implantation. In: Urologia Internationalis, No. 3: pp. 334-338




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.