{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T04:42:05Z","timestamp":1760244125490,"version":"build-2065373602"},"reference-count":29,"publisher":"MDPI AG","issue":"22","license":[{"start":{"date-parts":[[2022,11,15]],"date-time":"2022-11-15T00:00:00Z","timestamp":1668470400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"China Medical University","award":["DMR-112\u2013060","MOST 110\u20132320-B-039\u2013032","MOST 111\u20132320-B-039\u2013022"],"award-info":[{"award-number":["DMR-112\u2013060","MOST 110\u20132320-B-039\u2013032","MOST 111\u20132320-B-039\u2013022"]}]},{"name":"Ministry of Science and Technology","award":["DMR-112\u2013060","MOST 110\u20132320-B-039\u2013032","MOST 111\u20132320-B-039\u2013022"],"award-info":[{"award-number":["DMR-112\u2013060","MOST 110\u20132320-B-039\u2013032","MOST 111\u20132320-B-039\u2013022"]}]},{"name":"Ministry of Science and Technology","award":["DMR-112\u2013060","MOST 110\u20132320-B-039\u2013032","MOST 111\u20132320-B-039\u2013022"],"award-info":[{"award-number":["DMR-112\u2013060","MOST 110\u20132320-B-039\u2013032","MOST 111\u20132320-B-039\u2013022"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>The aim of this study was to investigate the outcomes of re-adjustable male slings in pa-tients with postoperative stress urinary incontinence (SUI) following radical prostatectomy (RP). We retrospectively analyzed 18 patients with SUI following RP for prostate cancer, who were treated with re-adjustable male slings from January 2016 to December 2021. The clinical outcomes were evaluated based on daily pad usage and urodynamic studies, both preoperatively and post-operatively. The degree of SUI was categorized as either mild, moderate, or severe. Success was defined as no more pad use or significantly decreased pad use. Complications were classified ac-cording to the Clavien\u2013Dindo system. The mean age of patients was 70.4 \u00b1 5.9 years, and 61.1% of cases were diagnosed as locally advanced prostate cancer. Mild, moderate, and severe SUI were reported as 33.3%, 50.0%, and 16.7%, respectively. The average daily pad use after RP was 3.3 pads and there was a significant reduction in the number of daily pads used after the re-adjustable male sling procedure (3.3 vs. 1.3; p = 0.002). Overall, the operation was considered successful in 11 pa-tients (61.1%), 1 case showed improvement (5.6%), and it was considered unsuccessful in 6 patients (33.3%). Impressively, in the severe incontinence subgroup (three patients), one (33.3%) had im-provement and one (33.3%) had success. Transient perineal discomfort after the operation was the most common complaint. However, two patients had severe complications with bowel injury during sling implantation (Clavien\u2013Dindo grade III). The re-adjustable male sling system was an efficient surgical treatment option for post-RP SUI, even in a locally advanced disease dominant population. One should pay attention to the complication of bowel perforation during surgery.<\/jats:p>","DOI":"10.3390\/jcm11226764","type":"journal-article","created":{"date-parts":[[2022,11,16]],"date-time":"2022-11-16T02:36:36Z","timestamp":1668566196000},"page":"6764","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Efficacy and Complications of the Re-Adjustable Male Sling System for Stress Urinary Incontinence after Radical Prostatectomy"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0459-2878","authenticated-orcid":false,"given":"Liang-Wei","family":"Chiu","sequence":"first","affiliation":[{"name":"Department of Urology, China Medical University Hospital, Taichung 40447, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6333-1638","authenticated-orcid":false,"given":"Wen-Chi","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Urology, China Medical University Hospital, Taichung 40447, Taiwan"},{"name":"Graduate Institute of Integrated Medicine, College of Chinese Medicine, China Medical University, Taichung 40402, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Po-Fan","family":"Hsieh","sequence":"additional","affiliation":[{"name":"Department of Urology, China Medical University Hospital, Taichung 40447, Taiwan"},{"name":"School of Medicine, College of Medicine, China Medical University, Taichung 40402, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8756-5113","authenticated-orcid":false,"given":"Yung-Hsiang","family":"Chen","sequence":"additional","affiliation":[{"name":"Graduate Institute of Integrated Medicine, College of Chinese Medicine, China Medical University, Taichung 40402, Taiwan"},{"name":"Department of Psychology, College of Medical and Health Science, Asia University, Taichung 41354, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chi-Ping","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Urology, China Medical University Hospital, Taichung 40447, Taiwan"},{"name":"School of Medicine, College of Medicine, China Medical University, Taichung 40402, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,11,15]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"King, L., Bernaitis, N., Christie, D., Chess-Williams, R., Sellers, D., McDermott, C., Dare, W., and Anoopkumar-Dukie, S. 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