{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T02:11:11Z","timestamp":1791166271811,"version":"4.1.0"},"reference-count":20,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2019,7,11]],"date-time":"2019-07-11T00:00:00Z","timestamp":1562803200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the efficacy and safety of the AdVance XP male sling in a midterm follow\u2010up for the treatment of male urinary incontinence in a selected patient cohort.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>In all, 115 patients with postprostatectomy incontinence were prospectively enrolled. A previous endoscopic evaluation of a sufficient coaptive zone in the repositioning test was mandatory. Patients with urine leakage in supine position or previous incontinence surgery were excluded. Postoperatively a standardized 24\u2010hour pad test and pad usage were evaluated. To compare pre\u2010 and postoperative continence status nonparametric <jats:italic>t<\/jats:italic> test was used. A <jats:italic>P<\/jats:italic>\u2010value of &lt;.05 was seen as statistically significant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Median preoperative urine loss in the 24\u2010hour\u00a0pad test was 272\u2009g (min. 42\u2010max. 1600) and was significantly improved at any point in follow\u2010up. Success was defined as 0 pads per day and a maximum of 5\u2009g in the 24\u2010hour pad test. After a follow\u2010up of 48 months, 71.7% of the patients were cured, whereas 15.0% of patients had an improved continence situation and 13.3% were classified as failed. Mean urine loss decreased significantly to 24.4\u2009g (<jats:italic>P<\/jats:italic>\u2009\u2264\u2009.001). No severe intra\u2010 or postoperative complications are to be reported. Median follow\u2010up was 4.2 years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A stable effectiveness in a selected patient cohort can also be demonstrated in an extended follow\u2010up. The complication rates are low and no late postoperative complications occurred, indicating the safety of the procedure.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.24101","type":"journal-article","created":{"date-parts":[[2019,7,12]],"date-time":"2019-07-12T04:34:45Z","timestamp":1562906085000},"page":"1973-1978","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Extended follow\u2010up of the AdVance XP male sling in the treatment of male urinary stress incontinence after 48 months: Results of a prospective and multicenter study"],"prefix":"10.1002","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7059-6124","authenticated-orcid":false,"given":"Markus","family":"Grabbert","sequence":"first","affiliation":[{"name":"Department of Urology University Hospital Freiburg  Freiburg 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