Post prostatectomy incontinence can be effectively treated by the AdVance sling in some patients

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The reported post radical prostatectomy incontinence rates are between 5 and 48% according to Bauer et al in an article published in Eur Urol (2011). 6-9% of patients eventually seek treatment for this. Novarra and Ficarra review a number of treatments in an editorial about the AdVance sling in Eur Urol (2012). There is evidence to use behavioural techniques, duloxetine, sling and an artificial urinary sphincter. The sphincter remains the gold standard with continence rates of 70-90% after 5 years and 60-80% after 7. However, it is also the most invasive and costly. Patients treated by the AdVance sling in the subject of the editorial by Rehder et al were cured in 75% of cases and the results were sustainable at 3 years. This was a multi-centred study of 156 patients. Cure rates were better for mild (1or 2 pads per day) and moderate incontinence (3-5 pads per day with 57% cured at 3 years compared to 42% of those with severe incontinence (more than 5 pads per day).

103 Responses to Post prostatectomy incontinence can be effectively treated by the AdVance sling in some patients

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