Impact of the ‘Repositioning Test’ on Postoperative Outcome of Retroluminar Transobturator Male Sling Implantation

Objective: To evaluate prospectively the value of the
‘repositioningtest’ (RT) in preoperative patient selection for the
efficacy of malestress urinary incontinence (SUI) treatment using a
retroluminartransobturator male sling (AdVance sling). Patients and
Methods: 65consecutive patients with SUI after radical
prostatectomy were includedin this single-center prospective study.
Preoperatively, patients wereclassified into those with ‘positive’
and ‘negative’ RT. Postoperativeresults were analyzed and the
association between the result of the RTand postoperative outcome
was evaluated. Results: 53 patients (81.5%)showed preoperatively a
positive RT and 12 patients (18.5%) a negativeRT. After a follow-up
of 12 months, patients with positive RT showed acure rate (0
pads/day) of 83% and patients with a negative RT showedonly a cure
rate of 25%. A positive RT significantly correlated withcure in
outcome (p < 0.001). Conclusions: Patients with positive RT
havea significantly better chance 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
patientselection.