Functional: Surgery for Male SUI: Difference between revisions

Line 229:

***Decreased success rates when undergoing male slings

====== Contraindications ~~(4)~~ ======

====== Contraindications'''[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3640149 §]''' ======

* '''Absolute'''

~~# '''Poor manual dexterity'''~~

~~# '''Cognitive disability'''~~

~~# '''Poor urethral tissue integrity'''~~

~~# '''Active infection at surgical site'''~~

* '''Relative'''

** '''Expected repeat transurethral instrumentation'''

***'''Bulbar urethral placement of an AUS will not allow appropriate instrumentation and transurethral resection in patients with recurrent bladder tumors; in these patients, a male sling is preferred'''

**** A male sling will allow passage of a 24-Fr resectoscope

*'''Absolute (6):'''

*#'''Lack of physical or mental dexterity to manipulate the pump'''

*#'''Repetitive urinary tract infections'''

*# '''Urethral diverticula at the expected implant site/Poor urethral tissue integrity'''

*# '''Complex, unstable, or recurrent urethral stricture diseases'''

*#'''Small capacity and/or non-compliant bladder prior to definitive treatment'''

*#'''Active infection at surgical site'''

*'''Relative (4):'''

*#'''High-grade vesicoureteric reflux'''

*#'''Recurrent intravesical or intraurethral diseases such as stones or tumors that are expected to require repeat transurethral instrumentation'''

*##'''Bulbar urethral placement of an AUS will not allow appropriate instrumentation and transurethral resection in patients with recurrent bladder tumors; in these patients, a male sling is preferred'''

*##* A male sling will allow passage of a 24-Fr resectoscope

*#'''Bladder neck contracture prior to treatment'''

*# '''Detrusor overactivity'''

*Radiotherapy is not considered to be a contraindication for placement of the AUS in males'''[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3640149 §]'''

====== Technique ======

@@ Line 229: / Line 229: @@
 ***Decreased success rates when undergoing male slings
-====== Contraindications (4) ======
+====== Contraindications'''[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3640149 §]''' ======
-* '''Absolute'''
-# '''Poor manual dexterity'''
-# '''Cognitive disability'''
-# '''Poor urethral tissue integrity'''
-# '''Active infection at surgical site'''
-* '''Relative'''
-** '''Expected repeat transurethral instrumentation'''
-***'''Bulbar urethral placement of an AUS will not allow appropriate instrumentation and transurethral resection in patients with recurrent bladder tumors; in these patients, a male sling is preferred'''
-**** A male sling will allow passage of a 24-Fr resectoscope
+*'''Absolute (6):'''
+*#'''Lack of physical or mental dexterity to manipulate the pump'''
+*#'''Repetitive urinary tract infections'''
+*# '''Urethral diverticula at the expected implant site/Poor urethral tissue integrity'''
+*# '''Complex, unstable, or recurrent urethral stricture diseases'''
+*#'''Small capacity and/or non-compliant bladder prior to definitive treatment'''
+*#'''Active infection at surgical site'''
+*'''Relative (4):'''
+*#'''High-grade vesicoureteric reflux'''
+*#'''Recurrent intravesical or intraurethral diseases such as stones or tumors that are expected to require repeat transurethral instrumentation'''
+*##'''Bulbar urethral placement of an AUS will not allow appropriate instrumentation and transurethral resection in patients with recurrent bladder tumors; in these patients, a male sling is preferred'''
+*##* A male sling will allow passage of a 24-Fr resectoscope
+*#'''Bladder neck contracture prior to treatment'''
+*# '''Detrusor overactivity'''
+*Radiotherapy is not considered to be a contraindication for placement of the AUS in males'''[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3640149 §]'''
 ====== Technique ======