ArticleInternational urology and nephrology2025
Therapeutic efficacy of suburethral sling in treatment of neurogenic and non-neurogenic stress urinary incontinence in men.
Article in International urology and nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeStress urinary incontinence (SUI) is usually secondary to prostatectomy or neurological lesions in men. The results of male suburethral slings for treating male SUI are presented.
methodsThe patients with postprostatectomy incontinence (PPI) (n = 47) and neurogenic SUI (NSUI) (n = 20) underwent the suburethral sling procedure using a polypropylene mesh and cardiovascular patch. In patients with PPI, the retrograde leak point pressure (RLPP) was set at 50-60 cmH
resultsThe mean age of the cohort was 63.9 ± 16.5 years; the mean follow-up period was 40.1 ± 48.7 months. The success rate was 56.7% for the entire cohort, 57.4% for the PPI group, and 55% for the NSUI group. The patients with PPI who did not receive radiotherapy had a higher success rate (63%) than those who received prior radiotherapy (33%). Among patients for whom the suburethral sling procedure was successful, those with PPI had a higher BMI, whereas those with NSUI had a higher corrected Qmax and RLPP. No significant difference in baseline abdominal LPP was observed between the two groups.
conclusionsThe suburethral sling procedure is safe and effective for male patients with SUI. Although radiotherapy reduced the success rate, intraoperative RLPP measurement enabled effective tension adjustment, particularly in patients with NSUI.
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