Comment je selectionne les meilleurs patients candidats a une cure d'incontinence urinaire par bandelettes sous-uretrales ?

摘要

Introduction. - Male slings have been highlighted as a first line option for surgical management of stress urinary incontinence after prostatic surgery. Predictive factors of failure/success are important to consider. Methods. - A literature review about the papers dealing with prognostic factors of male sling implantation. Results. - Although showing good results, male sling implantation fails to improve symptoms in about 25% of patients. Therefore, careful patient selection is mandatory. In the current literature, based on cohort, single-arm studies, some patients characteristics have been identified as predictive of favorable outcomes. The patient should be keen to undergo an innovative, mini-invasive surgical treatment, and present with mild to moderate incontinence symptoms, with no history of pelvic radiation therapy, urethra! stenosis or anastomotic stricture, and good residual sphincter function. Discussion. - If confirmed in further studies, these hypotheses could contribute to further refine the role of male slings in surgical management of stress urinary incontinence.