Many tapes are available in the market. Probably the most common are
- AdVance male sling (AMS)
- Mild to moderate SUI (3-4 pads per day)
- Success rates at 1y are 60-80%
- InVance male sling (AMS)
- Success rates 70-80% at 3-4y
Artificial urinary sphincter
- Inflatable cuff
- Pressure regulating baloon
- Balloon pressure 61-70 mmHg (bulbar urethral placement)
- Balloon pressure 71-80 mm Hg (bladder neck placement)
- Activating pump
- Indications:
- Moderate to severe SUI
- Normal bladder capacity and compliance
- In men after: RP, Rx, pelvic fracture, complicated urethral reconstruction
- In women: failure of other treatments for incontinence
- In both sexes for neuropathic sphincter weakness (e.g. SCI, spina bifida)
- Contraindications:
- Bladder neck stenosis
- Poor manual dexterity or cognition
- Active infection
- If OAB and ISD treat OAB first
- Success: long term is 70-90%
- Revision rates: 20-30%
- Complications
- Urethral atrophy (10%)
- Mechanical failure
- Urethral erosion (5%)
- Infection (1-5%)
- Bladder overactivity or reduced compliance
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