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Bone‐anchored sling using the Mini Quick Anchor Plus and polypropylene mesh to treat post‐radical prostatectomy incontinence: Early experience
Author(s) -
Suzuki Yasutomo,
Saito Yuka,
Ogushi Satoko,
Kimura Go,
Kondo Yukihiro
Publication year - 2012
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/j.1442-2042.2012.03073.x
Subject(s) - medicine , sling (weapon) , urinary incontinence , prostatectomy , surgery , urology , prostate , cancer
Herein we describe our experience with a bone‐anchored sling using a suture anchor and polypropylene mesh for the treatment of post‐radical prostatectomy urinary incontinence. Eight patients with urinary incontinence as a result of intrinsic sphincter deficiency after radical prostatectomy were included in the analysis. The procedure involved piercing the pubic bone with a bone drill, inserting the suture anchor and fixing a soft or rigid polypropylene mesh to press firmly on the bulbar urethra. Urinary incontinence was significantly improved according to changes in the daily number of pads used at 1, 3 and 6 months postoperatively in comparison with preoperatively. However, no meaningful improvement at 6 months postoperatively was seen with the soft mesh. Complications included perineal pain in four cases, but pain control was achieved using non‐steroidal anti‐inflammatory drugs. The bone‐anchored sling with a suture anchor and polypropylene mesh appears to be safe and effective for the treatment of post‐radical prostatectomy urinary incontinence. Soft mesh appears inappropriate as material for the bone‐anchored sling because of the progressive likelihood of worsened urinary incontinence.