The use of an adjustable male sling, Argus-T, for the treatment of stress urinary incontinence post-radical prostatectomy
BAUS ePoster online library. Donohue J. Jun 25, 2019; 259589; P9-3
Mr. John Donohue
Mr. John Donohue
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Abstract
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INTRODUCTION

The male sling has become a very attractive alternative to the artificial sphincter in recent years. We report our experiences of the first use of the Argus-T adjustable male sling in the UK.

METHODS

Between October 2012 and November 2018, 40 men with stress urinary incontinence, following radical prostatectomy, had a sling inserted. The Argus-T system (Promedon, Cordoba, Argentina) comprises a silicone foam pad for soft bulbar urethral compression. The pad is attached to silicone cone columns that, after being passed with needles from the perineum through the obturator foramen, are adjusted with silicone washers to regulate and keep the desired tension against the urethra. The degree of tension is determined by using a cystoscope to measure the retrograde leak point pressure from the urethra to the bladder and tightening the system until the pressure is increased to 35 cm H2O. The primary end point was pad usage.

RESULTS

The mean pad usage per day prior to surgery was 6.6 (2-14); 3 used convenes. 20 men required readjustment to tighten the slings. Total continence (zero pads) was achieved in 35 (88%) patients while the remaining 5 used 1 pad. They declined further surgery to adjust the sling. Three patients had their slings removed - two for infection and the other for pain. There were 4 cases of prolonged discomfort that settled and two case of retention, which resolved.

CONCLUSION

This new adjustable male sling safely and effectively controls sphincter incontinence in men after prostate surgery, with very encouraging results.
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