{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T02:24:01Z","timestamp":1740104641304,"version":"3.37.3"},"reference-count":37,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,1,31]],"date-time":"2022-01-31T00:00:00Z","timestamp":1643587200000},"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":["The Prostate"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The male sling has emerged as a minimally invasive option for incontinence after prostate treatment (IPT) in recent years, but it has\u00a0not yet been introduced into China. This study retrospectively evaluated the clinical outcomes of the modified female mid\u2010urethral sling in the treatment of IPT and explored potential preoperative factors to better predict surgical outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From May 2014 to January 2021, a total of 70 patients with IPT who underwent transobturator male sling procedure using the modified female mid\u2010urethral sling were retrospectively reviewed. All surgeries were performed by a single surgeon. Functional outcomes were evaluated by daily pad usage, and the severity of incontinence was classified as mild (\u22642 pads), moderate (3\u22124 pads), or severe (\u22655 pads). Success was defined as no pad usage or 1 pad for safety (cure), or a reduction in daily pad use by &gt;50% (improved). Patients were followed up at 3, 6 months, and yearly thereafter.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At a final follow\u2010up of 6\u221280 months, 35 (50.0%) patients were cured, 12 (17.1%) were improved, and 23 (32.9%) were still incontinent. There was a slight trend of declining continence over time, and the majority of patients remained improved. During follow\u2010up, 25 patients had perineal or scrotal pain, five patients had voiding difficulty and two had de novo urgency, one developed infection and underwent sling explantation. Early urinary retention was the only significant factor linked to better surgical outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The modified female mid\u2010urethral sling represents a viable option for the treatment of IPT. Improved efficacy is seen in patients with a history of early postoperative urinary retention.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pros.24306","type":"journal-article","created":{"date-parts":[[2022,1,31]],"date-time":"2022-01-31T16:04:25Z","timestamp":1643645065000},"page":"598-604","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Modified female mid\u2010urethral sling for the treatment of incontinence after prostate treatment: One\u2010center experience"],"prefix":"10.1002","volume":"82","author":[{"given":"Qiqi","family":"Mao","sequence":"first","affiliation":[{"name":"Department of Urology, The First Affiliated Hospital, School of Medicine Zhejiang University Hangzhou Zhejiang Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yiwei","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Urology, The First Affiliated Hospital, School of Medicine Zhejiang University Hangzhou Zhejiang Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dan","family":"Xia","sequence":"additional","affiliation":[{"name":"Department of Urology, The First Affiliated Hospital, School of Medicine Zhejiang University Hangzhou Zhejiang Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuo","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Urology, The First Affiliated Hospital, School of Medicine Zhejiang University Hangzhou Zhejiang Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4562-2992","authenticated-orcid":false,"given":"Hai","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Urology, The First Affiliated Hospital, School of Medicine Zhejiang University Hangzhou Zhejiang Province 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