Male incontinence surgery in the 21st century: past, present, and future.

Abstract:

PURPOSE OF REVIEW:Surgery is the mainstay for treating postprostatectomy stress urinary incontinence. Although the artificial urinary sphincter (AUS) remains a popular treatment option, a decade worth of innovations have expanded the role of male sling surgery. RECENT FINDINGS:AUS surgery has an approximately 80-85% success rate, regardless of the degree of incontinence. The bone-anchored male sling has a similar success rate in men with mild-to-moderate leakage, but is less efficacious in those with severe incontinence. A transobturator approach has simplified the procedure, but appears best suited for men with milder degrees of incontinence. A new quadratically fixed sling that achieves a broader area of urethral compression by combining a transobturator and suprapubic approach has recently been introduced, with the aim of greater efficacy, while maintaining the low morbidity of sling surgery. SUMMARY:The male sling and AUS are equally efficacious for the treatment of mild-to-moderate stress urinary incontinence. The sling appears to have a lower risk of infection, erosion, and urethral atrophy. The AUS remains the most efficacious treatment for severe stress urinary incontinence and for radiated patients. Recent changes in male sling surgery may improve efficacy in men with more severe incontinence.

journal_name

Curr Opin Urol

authors

Comiter CV

doi

10.1097/MOU.0b013e328339b795

subject

Has Abstract

pub_date

2010-07-01 00:00:00

pages

302-8

issue

4

eissn

0963-0643

issn

1473-6586

pii

00042307-201007000-00008

journal_volume

20

pub_type

杂志文章,评审
  • Strategies to prevent progression of high-risk bladder cancer at initial diagnosis.

    abstract:PURPOSE OF REVIEW:As high-risk nonmuscle invasive bladder cancer (NMIBC) has a high propensity to recur and progress, the primary therapeutic goal in patients with high-risk NMIBC is the prevention or delay of disease recurrence and progression. RECENT FINDINGS:For improving transurethral resection quality, new optica...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e328356adff

    authors: Ku JH,Lerner SP

    更新日期:2012-09-01 00:00:00

  • Evaluation of lower urinary tract symptoms in females.

    abstract:PURPOSE OF REVIEW:Ongoing controversy exists as to the extent of the necessary evaluation of the female presenting with lower urinary tract symptoms. Most would agree that a detailed history, a physical examination and a urine analysis are essential components of the initial evaluation of lower urinary tract symptoms i...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200307000-00002

    authors: Rovner ES,Wein AJ

    更新日期:2003-07-01 00:00:00

  • Residual stone fragments: clinical implications and technological innovations.

    abstract:PURPOSE OF REVIEW:To summarize the recent literature on the topic of residual stone fragments in particular novel developments in this field. RECENT FINDINGS:The urological position towards residual fragments has shifted in recent years from observation, to active retrieval with innovative methods, to algorithm-based ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000571

    authors: Suarez-Ibarrola R,Hein S,Miernik A

    更新日期:2019-03-01 00:00:00

  • Management of urethrovaginal fistulae.

    abstract:PURPOSE OF REVIEW:Urethrovaginal fistulae are a rare condition. It is a conceptual mistake to consider urethrovaginal fistulae to be synonymous with vesicovaginal fistulae. Urethrovaginal fistulae are a different entity requiring special attention and treatment. Due to the wide variety and individuality of the clinical...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e3282feedd4

    authors: Pushkar DY,Sumerova NM,Kasyan GR

    更新日期:2008-07-01 00:00:00

  • Targeted focal therapy for prostate cancer: a review.

    abstract:PURPOSE OF REVIEW:Prostate cancer screening has shifted the diagnosis of prostate cancer to lower grade, organ confined disease. Radical prostatectomy or radiation therapy has been shown to be overtreatment in 30% of patients. In this review, we will discuss targeted focal therapy (TFT) using the modalities of cryother...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e32832a2c4a

    authors: Hou AH,Sullivan KF,Crawford ED

    更新日期:2009-05-01 00:00:00

  • Female urinary microbiota.

    abstract:PURPOSE OF REVIEW:The newly discovered female urinary microbiota has the potential to deepen our understanding of urinary tract health and disease, including common lower urinary tract conditions such as urinary incontinence and urinary tract infection. The spectrum of painful bladder disorders and other less common co...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000396

    authors: Mueller ER,Wolfe AJ,Brubaker L

    更新日期:2017-05-01 00:00:00

  • American Urological Association and European Association of Urology guidelines in the management of benign prostatic hypertrophy: revisited.

    abstract:PURPOSE OF REVIEW:The purpose of this review is to provide a complete revision of two of the most widely used clinical guidelines in the management of lower urinary tract symptoms induced by benign prostatic hyperplasia and their importance and compliance among urologists. RECENT FINDINGS:Updates of the American Assoc...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e32834d8e87

    authors: Juliao AA,Plata M,Kazzazi A,Bostanci Y,Djavan B

    更新日期:2012-01-01 00:00:00

  • Carcinoma in situ of the bladder: why is it underdetected?

    abstract:PURPOSE OF REVIEW:The standard diagnosis of carcinoma in situ (CIS) of the bladder, based on white light cystoscopy and urine cytology, is limited because CIS can vary from normal-appearing mucosa to a lesion indistinguishable from an inflammatory process. Intravesical instillation of Bacillus Calmette-Guerin (BCG) rem...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000758

    authors: Subiela JD,Rodríguez Faba Ó,Guerrero-Ramos F,Aumatell J,Breda A,Palou J

    更新日期:2020-05-01 00:00:00

  • Intracorporeal lithotripsy: which modality is best?

    abstract:PURPOSE OF REVIEW:A large number of related articles published within the last year were reviewed. Different types of intracorporeal lithotripter devices were compared according to their advantages, disadvantages, efficacy, safety and clinical applications. General directions of future developments are discussed. RECE...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200305000-00014

    authors: Leveillee RJ,Lobik L

    更新日期:2003-05-01 00:00:00

  • Hand-assisted urological laparoscopy.

    abstract::Hand-assisted laparoscopy has been successfully applied to various applications within the field of urology. Many authors have proved the safety and efficacy of this technique, as well as demonstrating improved patient recovery for such procedures as radical nephrectomy, radical nephroureterectomy and donor nephrectom...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200205000-00010

    authors: Pietrow PK,Albala DM

    更新日期:2002-05-01 00:00:00

  • Novel targeted therapy for advanced renal carcinoma: trials in progress.

    abstract:PURPOSE OF REVIEW:Better understanding of renal cell carcinoma biology has led to a new era of targeted therapy in the management of metastatic renal cell carcinoma. This review provides an updated survey of the recently reported and ongoing clinical trials that will help to further define the role of these novel drugs...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e32833c86f8

    authors: Calabrò F,Sternberg CN

    更新日期:2010-09-01 00:00:00

  • Synthetic slings: which material, which approach.

    abstract:PURPOSE OF REVIEW:The success in the use of the tension-free midurethral sling procedures (tension-free vaginal tape, suprapubic arch, transobturator tape) has dramatically altered the approach to the surgical management of stress urinary incontinence in women and marked a resurgence in the use of mesh. We will analyze...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/01.mou.0000232042.95427.9f

    authors: Roth CC,Holley TD,Winters JC

    更新日期:2006-07-01 00:00:00

  • Is robotic surgery cost-effective: yes.

    abstract:PURPOSE OF REVIEW:With the expanding use of new technology in the treatment of clinically localized prostate cancer (PCa), the financial burden on the healthcare system and the individual has been important. Robotics offer many potential advantages to the surgeon and the patient. We assessed the potential cost-effectiv...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e32834d543f

    authors: Liberman D,Trinh QD,Jeldres C,Zorn KC

    更新日期:2012-01-01 00:00:00

  • Bipolar transurethral resection of prostate: a new reference standard?

    abstract:PURPOSE OF REVIEW:Transurethral resection of prostate is the gold standard for the surgical management of benign prostate hyperplasia. Bipolar devices allow transurethral resection of prostate with saline irrigation, which lessens water intoxication and negates the need for diathermy pad and unwanted stimulation of the...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e3282f194db

    authors: Ho HS,Cheng CW

    更新日期:2008-01-01 00:00:00

  • Tumor enucleation for small renal masses.

    abstract:PURPOSE OF REVIEW:The incidence of renal cell carcinoma and the detection of incidental small renal masses are rising. Urologists are faced with difficult management decisions on how to treat patients with small renal masses. Traditionally, the treatment of suspicious renal masses was radical nephrectomy. However, neph...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e3283551f84

    authors: Laryngakis NA,Guzzo TJ

    更新日期:2012-09-01 00:00:00

  • Current and future imaging for urologic interventions.

    abstract:PURPOSE OF REVIEW:This review focuses on novel imaging techniques used for guiding urologic procedures that are likely to provide additional opportunities to physicians in the years to come. RECENT FINDINGS:In the past, most image-guided urologic procedures have utilized two-dimensional x-ray images. This review will ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e3282f1c5d3

    authors: Nascimento RG,Coleman J,Solomon SB

    更新日期:2008-01-01 00:00:00

  • Optimizing safety and accuracy of prostate biopsy.

    abstract:PURPOSE OF REVIEW:The objective of this article is to examine the safety of prostate biopsy and discuss the emerging role of MRI-ultrasound fusion technology in improving diagnostic accuracy. RECENT FINDINGS:Men undergoing prostate biopsy frequently experience minor complications, including hematospermia, hematuria, a...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000310

    authors: Jones TA,Radtke JP,Hadaschik B,Marks LS

    更新日期:2016-09-01 00:00:00

  • Update on hormone-refractory prostate cancer.

    abstract:PURPOSE OF REVIEW:Androgen deprivation therapy is the cornerstone treatment for men with de novo or recurrent metastatic prostate cancer. Unfortunately, androgen deprivation therapy is primarily palliative, with nearly all men progressing to an androgen-independent state. Hormone-refractory prostate cancer presents sig...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200405000-00008

    authors: Kasamon KM,Dawson NA

    更新日期:2004-05-01 00:00:00

  • Modern pharmacotherapy for erectile dysfunction: evolving concepts with central and peripheral acting agents.

    abstract::Pharmacotherapy for men experiencing erectile dysfunction has undergone dramatic advances over the past 5 years with the introduction of an effective oral agent. Sildenafil has increased the pool of couples seeking treatment for this important health issue as well as expanding the numbers of physicians treating it. Re...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200111000-00011

    authors: Brock GB,Bochinski D

    更新日期:2001-11-01 00:00:00

  • The use of mesh in vaginal prolapse repair: do the benefits justify the risks?

    abstract:PURPOSE OF REVIEW:Due to the desire for improved outcomes, the use of synthetic materials in vaginal prolapse repair has been increasing despite the lack of sound evidence of their efficacy and safety. RECENT FINDINGS:Given the limited number of randomized controlled trials evaluating repair of vaginal prolapse with t...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e32833a5120

    authors: Morrisroe S,Lee U,Raz S

    更新日期:2010-07-01 00:00:00

  • Advances in laparoscopic partial nephrectomy.

    abstract:PURPOSE OF REVIEW:The advantages of the laparoscopic approach in the management of kidney tumors are unequivocal and the role of laparoscopy in nephron-sparing surgery is evolving. In a selected group of patients with small exophytic renal tumors laparoscopic partial nephrectomy became an alternative to open partial ne...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/01.mou.0000135079.98882.6d

    authors: Touijer K,Guillonneau B

    更新日期:2004-07-01 00:00:00

  • The devastated bladder outlet: treatment options.

    abstract:PURPOSE OF REVIEW:The purpose of this study is to review and discuss recently published studies of therapeutic options in cases with the combination of severe sphincteric damage and recurrent stricture of the bladder neck or anastomosis in patients with postradical prostatectomy. RECENT FINDINGS:Recent focus has been ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000185

    authors: Riedmiller H,Kocot A

    更新日期:2015-07-01 00:00:00

  • Interstitial brachytherapy for prostate cancer--just an expensive variant of 'watchful waiting'?

    abstract::As a result of the recent resurgence of interest in interstitial brachytherapy, extended follow-up studies of early experience in this field are now being reported. However, such outcomes must be evaluated within the context of recent comprehensive assessments of the age-specific natural history of conservatively mana...

    journal_title:Current opinion in urology

    pub_type: 社论,评审

    doi:10.1097/00042307-199905000-00001

    authors: Walther PJ

    更新日期:1999-05-01 00:00:00

  • Proteomics in prostate cancer.

    abstract:PURPOSE OF REVIEW:State-of-the-art proteomics technologies are currently being assessed for utility in the study of prostatic malignancy. This review aims to provide background information on the current proteomics techniques employed in prostate cancer research, recent reports showing the potential application of prot...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/01.mou.0000165547.48922.12

    authors: Bañez LL,Srivastava S,Moul JW

    更新日期:2005-05-01 00:00:00

  • Cognitive learning and its future in urology: surgical skills teaching and assessment.

    abstract:PURPOSE OF REVIEW:The aim of this study is to provide an overview of the current status of novel cognitive training approaches in surgery and to investigate the potential role of cognitive training in surgical education. RECENT FINDINGS:Kinematics of end-effector trajectories, as well as cognitive state features of su...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000408

    authors: Shafiei SB,Hussein AA,Guru KA

    更新日期:2017-07-01 00:00:00

  • Integrating basic science and clinical research in bladder cancer: update from the first bladder Specialized Program of Research Excellence (SPORE).

    abstract:PURPOSE OF REVIEW:To review the progress of the genitourinary SPORE (Specialized Program of Research Excellence) in bladder cancer. RECENT FINDINGS:The optimal management of bladder cancer depends on the accurate assessment of the biological potential of the disease. Methotrexate, vincristine, adriamycin and cisplatin...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200409000-00008

    authors: Highshaw RA,McConkey DJ,Dinney CP

    更新日期:2004-09-01 00:00:00

  • Important factors in the diagnosis and primary staging of testicular tumours.

    abstract:PURPOSE OF REVIEW:In the present review we outline the use of different staging methods and highlight future possibilities in the management of testicular germ cell cancer. RECENT FINDINGS:The 5-year survival for testicular cancer has improved dramatically over the past 30 years, with cure rates approaching 95%. This ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200209000-00009

    authors: Spermon JR,Debruyne FM,Witjes JA

    更新日期:2002-09-01 00:00:00

  • Testicular microlithiasis.

    abstract::Testicular microlithiasis is an uncommon condition that is characterized by calcifications within the lumina of seminiferous tubules. It is usually an incidental finding on high frequency scrotal sonography. Testicular microlithiasis is a benign condition but is associated with testicular malignancies. Recent reports ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200003000-00009

    authors: Ganem JP

    更新日期:2000-03-01 00:00:00

  • Defining high-risk prostate cancer.

    abstract:PURPOSE OF REVIEW:High-risk prostate cancer often represents a lethal disease requiring timely diagnosis and effective therapy. Standardized criteria that define high-risk prostate cancer have yet to be established, rendering the discrimination of high-risk from nonhigh-risk patients a challenge. This review summarizes...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e328361dba6

    authors: Goldberg H,Baniel J,Yossepowitch O

    更新日期:2013-07-01 00:00:00

  • Orthotopic urinary diversion.

    abstract:PURPOSE OF REVIEW:Orthotopic urinary diversion has been performed for more than 30 years. Although it is considered to be the gold standard form of diversion in many centers of expertise, however it is uncommonly performed outside these institutions. The purpose of this article is to review the current indications and ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000226

    authors: Daneshmand S

    更新日期:2015-11-01 00:00:00