The male bulbourethral sling procedure for post-radic prostatectomy incontinence

Anthony J. Schaeffer*, J. Quentin Clemens, Michelle Ferrari, Thomas A. Stamey

*Corresponding author for this work

Research output: Contribution to journalArticle

158 Scopus citations

Abstract

Purpose: We evaluate the efficacy of the male bulbourethral sling procedure in the treatment of post-radical prostatectomy urinary incontinence. Materials and Methods: We reviewed the records of 64 consecutive men with severe post-prostatectomy incontinence who underwent the male bulbourethral sling procedure at Northwestern Memorial Hospital and Stanford University Hospital. Preoperatively 50% of the patients were completely incontinent (diapers, clamps or condom catheter), and the remainder required a mean of 4.7 pads per day. Data were collected by chart review, patient interviews at followup appointments and telephone interviews. Median followup was 18.1 months (mean 22.4, range 6.5 to 53.8). Results: Following a single sling procedure 36 patients (56%) became dry, and 5 (8%) were significantly improved. In 17 patients 23 retightening procedures were performed, which decreased the median followup to 16 months and increased the success rate to 75% (67% cured, 8% improved). The revision, erosion and infection rates were 27, 6 and 3%, respectively. Conclusions: The male bulbourethral sling procedure is effective treatment for post-radical prostatectomy urinary incontinence. Patients who had received adjuvant radiation therapy demonstrated a lower continence rate than those who had not. Further followup is needed to assess long-term efficacy.

Original languageEnglish (US)
Pages (from-to)1510-1515
Number of pages6
JournalJournal of Urology
Volume159
Issue number5
DOIs
StatePublished - May 1998

Keywords

  • Prostatectomy
  • Urinary diversion
  • Urinary incontinence

ASJC Scopus subject areas

  • Urology

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