AMS AdVance XP Male Incontinence Sling System
AMS AdVance XP Male Incontinence Sling System
Boston Scientific
The AdVance XP Male Sling System has demonstrated long-term success rates at 3-year follow-up ranging from 76-89.4% at 3 years in patients with mild to moderate incontinence. 1,2
Patients may be continent immediately after this minimally invasive procedure, and most resume normal daily activities one to two weeks later.3-5
The system consists of the following:
- Sling: This component acts as a “hammock” to reposition and support the urethra.6
- The polypropylene liner is designed to reduce pull-through resistance during sling passage and enables desired sling placement prior to fixation.
- Once desired placement is achieved, the heat-sealed edges are designed to enhance sling fixation and resorbable tensioning sutures increase sling tensile strength.
- AdVance XP Sling features an additional 8 cm of sling arm length to accommodate larger patient anatomies.
- Mesh: Three permanent tensioning threads integrated directly into the mesh reduces prep time and longer product shelf life than the prior design.
- Chevron Anchors: Directional chevron anchors are designed for enhanced tissue fixation.
- Helical Trocars: Helical wireform is designed specifically for transobturator needle passage in the male anatomy. Arrows indicate on which side of the patient’s body they should be used. Modified angle of the trocars is designed for ease of surgical passage.
- Percutaneous Needle: Assists in the identification of the correct obturator foramen needle passer entry point.
- Disposable Retractor System: Consisting of the Lonestar Retractor and Blunt Stay Hooks, the system is designed to assist with surgical retraction and increases your field of view.
Clinical Data:
1. Bauer RM, Grabbert MT, Klehr B, et al. 36-month data for the AdVance XP male sling: results of a prospective multicenter study. BJU Int. 2017 Apr;119(4):626-30.
2. Cornu JN, Batista Da Costa J, Henry N, et al. Comparative study of AdVance and AdVance XP male slings in a tertiary reference center. Eur Urol. 2014 Feb;65(2):502-4.
3. Welk B, Herschorn, S. The male sling for post-prostatectomy urinary incontinence: a review of contemporary sling designs and outcomes. BJU Int. 2012 Feb;109(3):328-44.
4. AdVance XP Male Sling System Instructions for Use. Boston Scientific. 2018
5. Bauer RM, Mayer ME, May F, et al. Complications of the AdVance Transobturator Male Sling in the treatment of male stress urinary incontinence. Urology. 2010 Jun;75(6):1494-8.
6. Rehder P, Haab F, Cornu JN, et al. Treatment of postprostatectomy male urinary incontinence with the transobturator retroluminal repositioning sling suspension: 3-year follow-up. Eur Urol. 2012 Jul;62(1):140-5.
Produktbeskrivelse
Boston Scientific
The AdVance XP Male Sling System has demonstrated long-term success rates at 3-year follow-up ranging from 76-89.4% at 3 years in patients with mild to moderate incontinence. 1,2
Patients may be continent immediately after this minimally invasive procedure, and most resume normal daily activities one to two weeks later.3-5
The system consists of the following:
- Sling: This component acts as a “hammock” to reposition and support the urethra.6
- The polypropylene liner is designed to reduce pull-through resistance during sling passage and enables desired sling placement prior to fixation.
- Once desired placement is achieved, the heat-sealed edges are designed to enhance sling fixation and resorbable tensioning sutures increase sling tensile strength.
- AdVance XP Sling features an additional 8 cm of sling arm length to accommodate larger patient anatomies.
- Mesh: Three permanent tensioning threads integrated directly into the mesh reduces prep time and longer product shelf life than the prior design.
- Chevron Anchors: Directional chevron anchors are designed for enhanced tissue fixation.
- Helical Trocars: Helical wireform is designed specifically for transobturator needle passage in the male anatomy. Arrows indicate on which side of the patient’s body they should be used. Modified angle of the trocars is designed for ease of surgical passage.
- Percutaneous Needle: Assists in the identification of the correct obturator foramen needle passer entry point.
- Disposable Retractor System: Consisting of the Lonestar Retractor and Blunt Stay Hooks, the system is designed to assist with surgical retraction and increases your field of view.
Clinical Data:
1. Bauer RM, Grabbert MT, Klehr B, et al. 36-month data for the AdVance XP male sling: results of a prospective multicenter study. BJU Int. 2017 Apr;119(4):626-30.
2. Cornu JN, Batista Da Costa J, Henry N, et al. Comparative study of AdVance and AdVance XP male slings in a tertiary reference center. Eur Urol. 2014 Feb;65(2):502-4.
3. Welk B, Herschorn, S. The male sling for post-prostatectomy urinary incontinence: a review of contemporary sling designs and outcomes. BJU Int. 2012 Feb;109(3):328-44.
4. AdVance XP Male Sling System Instructions for Use. Boston Scientific. 2018
5. Bauer RM, Mayer ME, May F, et al. Complications of the AdVance Transobturator Male Sling in the treatment of male stress urinary incontinence. Urology. 2010 Jun;75(6):1494-8.
6. Rehder P, Haab F, Cornu JN, et al. Treatment of postprostatectomy male urinary incontinence with the transobturator retroluminal repositioning sling suspension: 3-year follow-up. Eur Urol. 2012 Jul;62(1):140-5.