Adjustable perineal male sling using tissue expander as an effective treatment of XXXX .

@entity1 @entity281 @entity7502 @entity322
PURPOSE: To report our intermediate experience in treating @entity1 with severe @entity322 using an adjustable perineal male sling with a tissue expander. MATERIALS AND METHODS: An adjustable male sling procedure was performed on 21 @entity1 with severe @entity322 . The underlying etiology of @entity322 was radical prostatectomy in 13 @entity1 , open prostatectomy in 5 @entity1 and transurethral prostate resection in 3 @entity1 . The difference between the classical and the adjustable sling is that in the latter there is a 25 mL tissue expander between the two layers of @entity7502 mesh with an injection port. Adjustment of the sling was performed with saline via an inflation port, in case of recurrence or persistence of @entity322 . RESULTS: The mean age of the @entity1 was 66.2  7.3 (50-79) years and mean pad usage was 6.4  0.6 per day. The mean follow-up time was 40.1  23.2 (6-74) months. The balloon was postoperatively inflated on average with 11.6  5.7 (5-25) mL. After the mean 40.1 months of follow-up, 16 of the 21 @entity1 (76.2%) were dry (11 @entity1 , 0 pads; 5 @entity1 using safety pads), 3 @entity1 (14%) had mild and 2 (9.8%) had moderate degree @entity322 ( @entity322 ). The average maximum urine flow rate of the @entity1 was 15.6  4.7 (10-31) mL/s. No residual urine was found. In 2 @entity1 , all parts of the device were removed due to @entity281 and discomfort, and in 3 @entity1 only the inflation component was removed due to @entity281 . CONCLUSIONS: Our results show that using an adjustable perineal male sling with a tissue expander seems to be an efficient, and safe surgical treatment option in @entity1 with @entity322 .
