AdVance™ Sling for Stress Incontinence: Long-Term Outcomes and Satisfaction

What is it about?

The study evaluated the long-term effects, complications, and satisfaction of patients treated with AdVance™ and AdVance™ XP slings for stress urinary incontinence (SUI) at a Norwegian specialist care hospital. The cure rate was 63.6% at a median follow-up of 6.5 years. The most common postoperative complication was transient urinary retention, and the main indication for reoperation was recurring incontinence. Failure of long-term continence was associated with more leakage preoperatively and at the 6-week follow-up. The definition of cure after sling implantation varies in the literature, but using the definition of social continence (0-1 pad/day or ≤5 g/24 h), the results were comparable with previously published data.

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Why is it important?

The research evaluates the long-term effects, complications, and satisfaction among patients treated with AdVance™ and AdVance™ XP slings at a Norwegian specialist care hospital. The study found that the AdVance™ and AdVance™ XP slings had a high success rate in patients with mild to moderate stress urinary incontinence (SUI), with 90% of patients cured at the 6-week follow-up. The most common complication was urinary retention, which was transient in most cases. The study also found that failure of long-term continence was associated with more leakage preoperatively and at the 6-week follow-up. The definition of cure after sling implantation varies in the literature, from pad-free to ≤1 pad daily or up to 5 g/24 h. Using the definition of ≤1 pad/day, the study's results are comparable with previously published data. The study concludes that the AdVance™/AdVance™ XP slings show good and persistent long-term results in patients with mild to moderate SUI, with a follow-up of up to 12 years. Key Takeaways: 1. The AdVance™ and AdVance™ XP slings have a high success rate in patients with mild to moderate SUI. 2. Urinary retention is the most common complication after surgery, but it is usually transient. 3. Failure of long-term continence is associated with more leakage preoperatively and at the 6-week follow-up.