{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:40:20Z","timestamp":1753879220943,"version":"3.41.2"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T00:00:00Z","timestamp":1737417600000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["LUTS"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>In our institution, a unique sling technique is performed for urinary incontinence after radical prostatectomy. However, in cases of severe urinary incontinence or in the medium to long term, the therapeutic effect may be insufficient. Therefore, a urethral sling technique that provides stronger compression of the bulbar urethra was developed, and its effectiveness was compared with the conventional technique.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Seventeen cases of conventional sling surgery and 16 cases of improved sling surgery were included. The number of pads used per day, safety pad rate, and International Consultation on Incontinence Questionnaire Short Form (ICIQ\u2010SF) were evaluated before and after surgery, and a retrospective comparison was made between the two groups. Furthermore, patients were divided into those who used \u2264\u20094 pads per day before surgery and those who used \u2265\u20095 pads per day, and the difference between the two groups was examined. We also examined changes over time between groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compared with the conventional group, the improved group showed significant improvement in the number of pads per day, safety pad rate, and ICIQ\u2010SF 18\u2009months after surgery. In the group with \u2264\u20094 preoperative pads, the improved group showed significant improvement in all safety pad rates except at 1 and 12\u2009months after surgery. There were no significant differences in all items between the two groups when the number of preoperative pads was \u2265\u20095.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The improved urethral sling technique appeared to contribute to improving moderate urinary incontinence by adding a simple procedure, especially for patients using \u2264\u20094 pads per day.<\/jats:p><\/jats:sec>","DOI":"10.1111\/luts.70003","type":"journal-article","created":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T23:38:00Z","timestamp":1737502680000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Usefulness of Mesh Reinforcement in Pubic Fixation Urethral Sling Surgery for Urinary Incontinence After Radical Prostatectomy"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5732-5779","authenticated-orcid":false,"given":"Yasutomo","family":"Suzuki","sequence":"first","affiliation":[{"name":"Department of Urology Nippon Medical School Chiba Hokusoh Hospital  Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoto","family":"Hodotsuka","sequence":"additional","affiliation":[{"name":"Department of Urology Nippon Medical School Chiba Hokusoh Hospital  Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eigo","family":"Kuribayashi","sequence":"additional","affiliation":[{"name":"Department of Urology Nippon Medical School Chiba Hokusoh Hospital  Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyota","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Urology Nippon Medical School Chiba Hokusoh Hospital  Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuichiro","family":"Honda","sequence":"additional","affiliation":[{"name":"Department of Urology Nippon Medical School Chiba Hokusoh Hospital  Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuma","family":"Endo","sequence":"additional","affiliation":[{"name":"Department of Urology Nippon Medical School Chiba Hokusoh Hospital  Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yukihiro","family":"Kondo","sequence":"additional","affiliation":[{"name":"Department of Urology Nippon Medical School  Chiba 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