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Patient-reported outcomes of a single-surgeon’s experience with the AdVance male sling
Anne M. Suskind, MD1, Bruce Bernstein, PhD1, Marlene Murhpy-Setzko, MD2.
1University of Connecticut, Farmington, CT, USA, 2St Francis Hospital, Hartford, CT, USA.

Introduction/Objective: Post-prostatectomy incontinence is a problem that plagues large numbers of men. While the artificial urinary sphincter is the gold standard operation for this problem, recently the AdVance sling has become an alternative option for men with less severe urinary incontinence. Since the recent inception of this surgical treatment in 2006, there have been few published reports on patient outcomes. This single-surgeon series looks at patient-perceived satisfaction and effectiveness of the male sling.
Methods: This study represents a chart review of a single-surgeon’s experience with the AdVance sling paired with a follow-up 5 question telephone survey. The survey consisted of 2 validated questions pertaining to patient satisfaction (the PGI-I and the PGI-S) along with 3 additional questions pertaining to number of pads per day (PPD)used, additional therapies tried, and whether or not the patient would recommend the procedure to a friend.
Results: The surgeon performed a total of 45 AdVance sling procedures from 2006 to the present. 42 charts were available for review and 38 patients were reached via telephone. Average patient age was 63.64 years and the average time in months since sling procedure was 18.76. Average number of PPD used was 2.11 preoperatively, 0.38 at the one month post-operative visit, and 1.67 at time of the telephone survey. Differences between each of the patient-reported PPD numbers was highly statistically significant. Additionally, advancing time since sling operation correlated with higher numbers of PPD (Figure 1), while patient satisfaction did not change. 36/38 patients would recommend the procedure to a friend.
Conclusions: Despite continued pad usage and urinary leakage after AdVance Male sling procedures, patients were overwhelming satisfied with the procedure as confirmed by responses to the PGI-I, PGI-S, and their willingness to recommend this procedure to a friend.


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