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Comparative Study
. 2018 Oct;36(10):1657-1662.
doi: 10.1007/s00345-018-2316-5. Epub 2018 May 4.

The AdVance and AdVanceXP male sling in urinary incontinence: is there a difference?

Tanja Hüsch  1 , Alexander Kretschmer  2   3 , Frauke Thomsen  4 , Dominik Kronlachner  4 , Martin Kurosch  5 , Alice Obaje  6 , Ralf Anding  7 , Ruth Kirschner-Hermanns  7 , Tobias Pottek  8 , Achim Rose  9 , Roberto Olianas  10 , Lukas Lusuardi  11 , Alexander Friedl  12 , Roland Homberg  13 , Jesco Pfitzenmaier  14 , Fabian Queissert  15 , Carsten M Naumann  16 , Josef Schweiger  17 , Carola Wotzka  18 , Joanne Nyarangi-Dix  19 , Bernhard Brehmer  20 , Rudi Abdunnur  21 , Hagen Loertzer  22 , Kurt Ulm  23 , Wilhelm Hübner  24 , Ricarda M Bauer  2 , Axel Haferkamp  5
Affiliations
Comparative Study

The AdVance and AdVanceXP male sling in urinary incontinence: is there a difference?

Tanja Hüsch et al. World J Urol. 2018 Oct.

Abstract

Purpose: To compare the efficacy and perioperative complications of the AdVanceXP with the original AdVance male sling.

Methods: We retrospectively enrolled 109 patients with an AdVance and 185 patients with an AdVanceXP male sling. The baseline characteristics and complication rates were analyzed retrospectively. Functional outcome and quality of life were evaluated prospectively by standardized, validated questionnaires. The Chi2-test for categorical and Mann-Whitney U test for continuous variables were performed to identify heterogeneity between the groups.

Results: Regarding operation time, there was no significant difference between the slings (p = 0.146). The complication rates were comparable in both groups except for postoperative urinary retention. This occurred significantly more often in patients with the AdVanceXP (p = 0.042). During follow-up, no differences could be identified regarding ICIQ-SF, PGI or I-QoL or number of pad usage.

Conclusions: The AdVance and AdVanceXP are safe and effective treatment options for male stress urinary incontinence. However, the innovations of the AdVanceXP sling did not demonstrate a superiority over the original AdVance sling regarding functional outcome.

Keywords: AdVance; AdVanceXP; Male; Male sling; Stress urinary incontinence.

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