eprintid: 27235
rev_number: 19
eprint_status: archive
userid: 1249
dir: disk0/00/02/72/35
datestamp: 2019-10-15 13:47:59
lastmod: 2020-02-19 07:57:40
status_changed: 2019-10-15 13:47:59
type: article
metadata_visibility: show
creators_name: Bauer, Ricarda M.
creators_name: Gozzi, Christian
creators_name: Roosen, Alexander
creators_name: Khoder, Wael
creators_name: Trottmann, Matthias
creators_name: Waidelich, Raphaela
creators_name: Stief, Christian G.
creators_name: Soljanik, Irina
title: Impact of the 'Repositioning Test' on Postoperative Outcome of Retroluminar Transobturator Male Sling Implantation
subjects: 610
divisions: 911460
keywords: retroluminar transobturator male sling , repositioning test , AdVance sling , postprostatectomy stress urinary incontinence , preoperative patient selection
note: Dieser Beitrag ist aufgrund einer (DFG-geförderten) Allianz bzw. Nationallizenz frei zugänglich.

This publication is freely accessible due to an Alliance licence and a national licence (funded by the DFG, German Research Foundation) respectively.
abstract: OBJECTIVE: To evaluate prospectively the value of the ‘repositioning test’ (RT) in preoperative patient selection for the efficacy of male stress urinary incontinence (SUI) treatment using a retroluminar transobturator male sling (AdVance sling). 

PATIENTS AND METHODS: 65 consecutive patients with SUI after radical prostatectomy were included in this singlecenter prospective study. Preoperatively, patients were classified into those with ‘positive’ and ‘negative’ RT. Postoperative results were analyzed and the association between the result of the RT and postoperative outcome was evaluated. 

RESULTS: 53 patients (81.5%) showed preoperatively a positive RT and 12 patients (18.5%) a negative RT. After a followup of 12 months, patients with positive RT showed a cure rate (0 pads/day) of 83% and patients with a negative RT showed only a cure rate of 25%. A positive RT significantly correlated with cure in outcome (p < 0.001). 

CONCLUSIONS: Patients with positive RT have a significantly better  hance for successful AdVance sling implantation. The RT is minimally invasive, easy to learn and easy to perform. Therefore, the RT is a very useful tool for preoperative patient selection.
date: 2013
publisher: Karger
id_scheme: DOI
id_number: 10.11588/heidok.00027235
official_url: https://doi.org/10.1159/000347123
ppn_swb: 1680077953
own_urn: urn:nbn:de:bsz:16-heidok-272353
language: eng
bibsort: BAUERRICARIMPACTOFTH2013
full_text_status: public
publication: Urologia Internationalis
volume: 90
number: 3
place_of_pub: Basel
pagerange: 334-338
issn: 0042-1138 (Druck-Ausg.), 1423-0399 (Online-Ausg.)
citation:   Bauer, Ricarda M. ; Gozzi, Christian ; Roosen, Alexander ; Khoder, Wael ; Trottmann, Matthias ; Waidelich, Raphaela ; Stief, Christian G. ; Soljanik, Irina  (2013) Impact of the 'Repositioning Test' on Postoperative Outcome of Retroluminar Transobturator Male Sling Implantation.  Urologia Internationalis, 90 (3).  pp. 334-338.  ISSN 0042-1138 (Druck-Ausg.), 1423-0399 (Online-Ausg.)     
document_url: https://archiv.ub.uni-heidelberg.de/volltextserver/27235/1/347123.pdf