The Male Transobturator Sling for Stress Incontinence After the Treatment of Prostate Cancer

Purpose of Review: The purpose of this review is to describe the use of male transobturator slings for the treatment of post-prostatectomy urinary incontinence. We aim to cover available slings on the market and give some background history of transobturator sling development. Recent Findings: Although there has been a paucity of new transobturator slings released on the market over the last 5 years, there has emerged new data on product variations of the transobturator sling, including the Argus T adjustable sling, the Virtue Quadratic sling, the ATOMS sling, and the AdVance XP sling. Evidence that radiotherapy worsens outcomes, urodynamic studies may play some role in patient selection with Valsalva leak point pressure (VLPP) <100 cm H20 showing improved success, and salvage of sling failures are more optimal with artificial urinary sphincter (AUS) as compared to repeat sling placement, highlights the recent technical findings for the use of transobturator male urethral slings for the treatment of post-prostatectomy urinary incontinence. Summary: Male transobturator slings and its variations are efficacious in the treatment of post-prostatectomy urinary incontinence given proper patient selection and appropriate device implantation practices. Patients with mild to moderate stress urinary incontinence that have had no prior radiotherapy and have some ability to coapt the external urethral sphincter have the highest success rates. © 2017, Springer Science+Business Media New York.