Vol.:(0123456789) 1 3 World Journal of Urology https://doi.org/10.1007/s00345-018-2316-5 ORIGINAL ARTICLE The AdVance and AdVanceXP male sling in urinary incontinence: is there a diference? Tanja Hüsch 1  · Alexander Kretschmer 2,3  · Frauke Thomsen 4  · Dominik Kronlachner 4  · Martin Kurosch 1  · Alice Obaje 5  · Ralf Anding 6  · Ruth Kirschner‑Hermanns 6  · Tobias Pottek 7  · Achim Rose 8  · Roberto Olianas 9  · Lukas Lusuardi 10  · Alexander Friedl 11  · Roland Homberg 12  · Jesco Pftzenmaier 13  · Fabian Queissert 14  · Carsten M. Naumann 15  · Josef Schweiger 16  · Carola Wotzka 17  · Joanne Nyarangi‑Dix 18  · Bernhard Brehmer 19  · Rudi Abdunnur 20  · Hagen Loertzer 21  · Kurt Ulm 22  · Wilhelm Hübner 23  · Ricarda M. Bauer 2  · Axel Haferkamp 1 Received: 2 December 2017 / Accepted: 27 April 2018 © Springer-Verlag GmbH Germany, part of Springer Nature 2018 Abstract Purpose To compare the efcacy and perioperative complications of the AdVanceXP with the original AdVance male sling. Methods We retrospectively enrolled 109 patients with an AdVance and 185 patients with an AdVanceXP male sling. The baseline characteristics and complication rates were analyzed retrospectively. Functional outcome and quality of life were evaluated prospectively by standardized, validated questionnaires. The Chi 2 -test for categorical and Mann–Whitney U test for continuous variables were performed to identify heterogeneity between the groups. Results Regarding operation time, there was no signifcant diference between the slings (p = 0.146). The complication rates were comparable in both groups except for postoperative urinary retention. This occurred signifcantly more often in patients with the AdVanceXP (p = 0.042). During follow-up, no diferences could be identifed regarding ICIQ-SF, PGI or I-QoL or number of pad usage. Conclusions The AdVance and AdVanceXP are safe and efective treatment options for male stress urinary incontinence. However, the innovations of the AdVanceXP sling did not demonstrate a superiority over the original AdVance sling regard- ing functional outcome. Keywords Male · Stress urinary incontinence · Male sling · AdVance · AdVanceXP Abbreviations ICIQ-SF International Consultation on Incontinence Questionnaire-Short Form IPSS International Prostate Symptome Score I-QoL Incontinence-Quality of Life PGI-I Patient Global Impression-Improvement SUI Stress urinary incontinence VRS Verbal Rating Scale Introduction The AdVance ® male sling (AMS Men’s Health/Boston Sci- entifc, Massachusetts, USA) has been the most frequently investigated fxed sling for the treatment of male stress urinary incontinence (SUI) since its introduction by Reh- der and Gozzi [1]. In comparison to compressive devices or slings, the AdVance ® is hypothesized to function as a dynamic hammock during situations of increased abdominal pressure [2], thereby restoring continence. The efcacy and safety of the original AdVance ® for the treatment of male SUI has been demonstrated in several trials [3–6]. In 2010, the second generation named AdVanceXP ® was introduced to provide better stability by tensioning fbers, chevron anchors and Tyvek ® liners and to facilitate the implanta- tion by modifying the implantation needle [7]. Despite these minor modifcations, the underlying mechanisms and surgi- cal techniques have not changed substantially [8]; the inser- tion of the needles is somewhat easier, the removal of the tape sheaths slightly more difcult. To our knowledge, there is only one prospective [8] and one retrospective trial [9] of single tertiary reference centers comparing the AdVance ® and the AdVanceXP ® . The current study aims to investi- gate the safety and efcacy of both models in comparison * Tanja Hüsch tanja.huesch@uni-mainz.de Extended author information available on the last page of the article