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A new male sling for minimal to moderate incontinence and climacturia

International Journal of Impotence Research volume 33, pages 525–532 (2021)Cite this article

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Abstract

Erectile dysfunction (ED) and stress urinary incontinence (SUI) are known bothersome sequelae to radical prostatectomy. In recent years, additional attention has been placed on another less commonly described and reported side effect to this surgery, climacturia. While various noninvasive and surgical interventions have been described for the management of climacturia, until recently, none has provided reliable and meaningful results. In the past few years, the Mini-Jupette sling has gained popularity as an adjunct to inflatable penile prosthesis placement in patients with concomitant ED and climacturia. Recent data have also suggested its feasibility in patients with mild SUI. While the original technique described by Pr. Andrianne has shown long-term, reproducible, and safe results, innovative modifications such as the use of autologous rectus fascia, the Male Urethral Mini-Sling and the Mayo Clinic modified Mini-Jupette sling have also been suggested, proof of widespread interest amongst clinicians toward achieving the optimum surgical technique.

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Fig. 1: Andrianne Mini-Jupette sling.
Fig. 2: Urethral coaptation on cystoscopy.
Fig. 3: Autologous rectus fascia Mini-Jupette sling.
Fig. 4: Male urethral mini-sling.
Fig. 5: Mayo Clinic version of Mini-Jupette.
Fig. 6: Mayo Clinic version of Mini-Jupette.

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Authors and Affiliations

  1. University of California Irvine, Irvine, CA, USA

    Faysal A. Yafi

  2. Advent Medical Group Urology, Orlando, FL, USA

    Jeff Brady

  3. Institute for Urologic Excellence, La Quinta, CA, USA

    Steven K. Wilson

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  1. Faysal A. Yafi
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  2. Jeff Brady
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Correspondence to Faysal A. Yafi.

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Conflict of interest

SKW: Consultant: AMT, Coloplast, International Medical Devices. Lecturer: Boston Scientific. Stockholder: NeoTract FAY: Consultant: Coloplast, Clarus Therapeutics, Antares Pharma. Research grant: Viome. JB: Consultant: Boston Scientific, Coloplast, Endo Pharmaceuticals.

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Yafi, F.A., Brady, J. & Wilson, S.K. A new male sling for minimal to moderate incontinence and climacturia. Int J Impot Res 33, 525–532 (2021). https://doi.org/10.1038/s41443-020-0308-7

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