The authors should be commended for studying the difficult population of men with stress incontinence after radical prostatectomy and radiotherapy. The authors report the outcomes for the AdVance sling and conclude that, in select patients, the procedure achieves a success rate of 50%, with results stable for a median follow-up of 18 months. They also state that treatment success is reduced compared with the reported success rates in patients who have not undergone radiotherapy. Some of the criticisms of this study are common to many reports on the outcomes after treatment of male stress incontinence. A careful reading of this report (and many others on the same topic) raises 2 important questions. First, whether the "success" rate is really 50%; and second, whether the outcomes are really worse in patients who have undergone adjuvant radiotherapy.
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