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Review
. 2021 Apr;40(4):1048-1055.
doi: 10.1002/nau.24666. Epub 2021 Apr 1.

Prevalence of chronic pain following suburethral mesh sling implantation for post-prostatectomy incontinence

Findlay MacAskill  1 , Kieran Sheimar  2 , Bogdan Toia  3 , Denosshan Sri  4 , Jai Seth  4 , Davendra Sharma  4 , Rizwan Hamid  3 , Tamsin Greenwell  3 , Jeremy Ockrim  3 , Claire Taylor  1 , Sachin Malde  1 , Arun Sahai  1
Affiliations
Review

Prevalence of chronic pain following suburethral mesh sling implantation for post-prostatectomy incontinence

Findlay MacAskill et al. Neurourol Urodyn. 2021 Apr.

Abstract

Purpose: To evaluate postoperative pain and complications following AdVance™/AdVance™ XP male sling implantation.

Materials and methods: A multi-center retrospective medical notes review of patients implanted for bothersome post-prostatectomy incontinence was conducted. All patients were telephoned to provide further information on pain or further complications related to their surgery. Statistical evaluation utilized logistical regression analysis. Additionally, a literature review was conducted reviewing pain outcomes following AdVance™/AdVance™ XP implantation.

Results: One-hundred and twenty-seven men were reviewed over an 8-year period. The mean age was 70 years, with mean follow up 52 months. Of those with mild stress urinary incontinence, 45 (79%) had a successful outcome compared to 42 (72%) in the moderate group. Twenty-nine (23%) men reported postoperative pain, with a mean maximal pain score of 6 (range: 0-10). The majority of pain resolved within 4 weeks (19/29 men). A further seven patients resolved by 3 months. Only three men (2.3%) had chronic pain greater than 3 months, which all resolved by 1 year. Men less than 65 years were more likely to suffer pain (p = 0.009). Acute urinary retention occurred in 23 (18%) men and correlated significantly with postoperative pain (p = 0.04). Overactive bladder symptoms, severity of incontinence or radiotherapy were not correlated with postoperative pain. In our cohort, there were no extrusions, divisions, or explantations.

Conclusion: Approximately a quarter of men experience pain in the early postoperative period. However, the severity and rates of chronic pain (>3 months) are low (2.3%) but all settle within a year.

Keywords: male sling; pain; post-prostatectomy; suburethral sling; urinary incontinence.

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References

REFERENCES

    1. Ford AA, Rogerson L, Cody JD, Ogah J. Mid-urethral sling operations for stress urinary incontinence in women. Cochrane Database Syst Rev. 2015;7:Cd006375.
    1. Ulrich D, Tammaa A, Hölbfer S, et al. Ten-year followup after tension-free vaginal tape-obturator procedure for stress urinary incontinence. J Urol. 2016;196(4):1201-1206.
    1. Zhang Z, Zhu L, Xu T, Lang J. Retropubic tension-free vaginal tape and inside-out transobturator tape: a long-term randomized trial. Intl Urogynecol J. 2016;27(1):103-111.
    1. Keltie K, Elneil S, Monga A, et al. Complications following vaginal mesh procedures for stress urinary incontinence: an 8 year study of 92,246 women. Sci Rep. 2017;7(1).
    1. De Ridder D, Rehder P. The AdVance male sling: anatomic features in relation to mode of action. Eur Urol Suppl. 2011;10(4):383-389.

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