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M. Porena, E. Mearini, L. Mearini, A. VIanello and A. Giannantoni, “Voiding Dysfunction after Radical Retropubic Prostatectomy: More than External Urethral Sphincter Deficiency,” European Urology, Vol. 52, No. 1, 2007, pp. 38-45. doi:10.1016/j.eururo.2007.03.051

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• TITLE: Re-Adjustable Male Slings

  AUTHORS: Wilhelm A. Hübner, Nicolai A. Hübner

  KEYWORDS: Re-Adjustable; Adjustable; Male Sling; Argus; Reemex; Atoms; Postprostatectomy-Incontinence

  JOURNAL NAME: Open Journal of Urology, Vol.3 No.3, June 26, 2013

  ABSTRACT: Re-adjustable male slings are well established and should be offered to incontinent men with mild, moderate or severe incontinence. However, they should be able to interrupt their stream. Solely the slight increase of the urethral resistance (10 - 15 cmH20) supporting the smooth muscle component will provide continence for such patients. Argus, Remeex and Atoms allow exactly setting the urethral resistance to a level, which will provide continence thus avoiding obstructive voiding. Implantation may be carried out retropubically (Remeex), via a transobturator route (Atoms) or alternatively (Argus). The success rates after more than one-year follow-up come up to 84%. Intraoperative bladder perforations may occur in 6% - 11%, late complications are infections possibly leading to explantation in 8% - 12%. Postoperative perineal pain and/or numbness may be present.