AdVance® Male Sling: Surgical Technique and Postoperative Patient Management

The AdVance (R) transobturator sling, an innovative sling developed to correct postprostatectomy stress urinary incontinence, acts by repositioning the urethral sphincter complex back into the pelvis. Optimal placement of the sling on the urethral bulb is ensured by following a recommended surgical technique. Postoperative pain resolves spontaneously or is easily controlled with analgesics. Patients must comply with postoperative care instructions, that is, no strenuous exercise in the immediate postoperative period to avoid sling slippage. It is also feasible to conduct implantation of an inflatable penile prosthesis in men with erectile dysfunction at the same time as the AdVance (R) sling. The subsequent placement of an artificial urinary sphincter is not compromised in men who have previously received the AdVance (R) sling. (C) 2011 Published by Elsevier B.V. on behalf of European Association of Urology.