Table 2.
Overview of Adjustable Mesh Slings for Post-prostatectomy Incontinence
| Study | No. of Patients | History of Pelvic Radiation (%) | Overall Success Rate (%) | Overall Cure Rate (%) | % of Patients with 1 Adjustment | % of patients with <1 adjustment | Mean No. Adjustments | Complications | Mean Follow-up (mo) |
|---|---|---|---|---|---|---|---|---|---|
| Argus Sling (retropubic; Promedon, Cordoba, Argentina) | |||||||||
| Romano 200618 | 48 | 0 | 83.3 | 73% | 8.3 | — | — | Dysuria (21%) Explant rate (10.4%) Urethral erosion (6%) Intra-op urethral perforation (6%) | 7.5 |
| Argus-T (trans-obturator; Promedon, Cordoba, Argentina) | |||||||||
| Siracusano 201734 | 182 | 26.9 | 86.2 | 33.0 | 30.2 | 12.6 | — | Transient pain (38.5%) Explant rate (9.3%) Urinary retention (8.8%) Infection (4.9%) Urethral erosion (0.5%) | 22* |
| Male ReMeex System (MRS; Neomedic, Barcelona, Spain) | |||||||||
| Sousa-Escandón 200717 | 51 | 19.6 | 84.3 | 64.7 | 100 | 86 | — | Intra-op bladder perforation (9.8%) Perineal hematoma (5.9%) Varitensor infection (3.9%) Urethral erosion (2%) | 32 |
| Navalón-Monllor 201635 | 24 | — | 91.7 | 91.7 | 100 | 91 | 2.41 ± 1.52 1.12 ± 0.83 (MRS-II) | Intra-op bladder perforation (4%) Varitensor infection (8%) Explant rate (8%) | 40.7 |
| ATOMS (A.M.I. Surgical, Vienna, Austria) | |||||||||
| Friedl 201736 | 287 | 23 | 90 | 64 | — | — | 3* | Explant rate (20%) | 31* |
*Median