{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T14:02:09Z","timestamp":1777471329627,"version":"3.51.4"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,2,27]],"date-time":"2017-02-27T00:00:00Z","timestamp":1488153600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100008497","name":"Boston Scientific Corporation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008497","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Since 2008, the <jats:styled-content style=\"fixed-case\">AdVance<\/jats:styled-content> male urethral sling has emerged as a minimally invasive option for stress urinary incontinence. We aimed to evaluate the success of the <jats:styled-content style=\"fixed-case\">AdVance<\/jats:styled-content> sling using validated continence outcome measures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 72 patients treated with the <jats:styled-content style=\"fixed-case\">AdVance<\/jats:styled-content> sling completed validated questionnaires reporting on quality of life and functional outcomes. Incontinence was assessed according to pad weight, pad usage per day (<jats:styled-content style=\"fixed-case\">PPD<\/jats:styled-content>), International Consultation on Incontinence Questionnaire scores and Patient Global Impression of Improvement scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At a median 52\u2010month follow\u2010up, 37 (51%) patients were pad free or used a security pad; 18 (25%) used \u226550% fewer <jats:styled-content style=\"fixed-case\">PPDs<\/jats:styled-content>; and the remaining 17 (24%) patients were classified as \u2018failed\u2019. According to pad weights, 27 (38%) patients were dry; 32 (44%) had mild incontinence (&lt;100 <jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content>\/day); and 13 (18%) had moderate (100\u2013400 <jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content>\/day) or severe (&gt;400 <jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content>\/day) incontinence. Patient satisfaction was high, with 57 (79%) very much or much better, six (8%) somewhat better and only nine (13%) unchanged or worse. There was a trend of declining continence over time, although the majority remained improved. Patients with severe preoperative incontinence performed significantly worse postoperatively (<jats:italic>P<\/jats:italic> = 0.02), as did those who had had prior pelvic radiotherapy (<jats:italic>P<\/jats:italic> = 0.02).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">AdVance<\/jats:styled-content> sling offers a high rate of success for the treatment of mild to moderate post\u2010prostatectomy incontinence according to <jats:styled-content style=\"fixed-case\">PPD<\/jats:styled-content>; however, when using objective measures of continence, the success rates are lower. The improvement in urinary control is largely durable over the medium term; however, they may decline beyond 4 years. Reduced efficacy is seen in those with a history of radiotherapy and severe incontinence, although the majority of these men are still improved with surgery.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.13890","type":"journal-article","created":{"date-parts":[[2017,2,27]],"date-time":"2017-02-27T07:43:00Z","timestamp":1488181380000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["<scp>AdVance<\/scp> male urethral sling: medium\u2010term results in an Australian cohort"],"prefix":"10.1111","volume":"88","author":[{"given":"Alexander","family":"Papachristos","sequence":"first","affiliation":[{"name":"Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Mann","sequence":"additional","affiliation":[{"name":"Australian Urology Associates  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kay","family":"Talbot","sequence":"additional","affiliation":[{"name":"Australian Urology Associates  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Moon","sequence":"additional","affiliation":[{"name":"Royal Melbourne Hospital  Melbourne Victoria Australia"},{"name":"Australian Urology Associates  Melbourne Victoria Australia"},{"name":"Department of Urology Cabrini Hospital  Melbourne Victoria Australia"},{"name":"Department of Surgery The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,2,27]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1001\/jama.1995.03520260051032","article-title":"Quality\u2010of\u2010life outcomes in men treated for localized prostate cancer","volume":"273","author":"Litwin MS","year":"1995","journal-title":"JAMA"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000072900.82131.6f"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.12602"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000154637.38262.3a"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2008.10.029"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2009.07.028"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2007.01.110"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2008.12.082"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22539"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2010.09765.x"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2012.02.038"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20333"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2003.379"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2010.09729.x"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22731"},{"key":"e_1_2_7_17_1","article-title":"Mid\u2010term outcomes of a male retro\u2010urethral, transobturator synthetic sling for treatment of post\u2010prostatectomy incontinence: impact of radiotherapy and storage dysfunction","author":"Habashy D","journal-title":"Neurourol. 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