Transobturator male sling TOMS？ for the treatment of stress post-prostatectomy incontinence, initial experience and results with one year's experience

purpose: post-prostatectomy incontinence remains a problem, even in minor or moderate degrees. in order to minimize surgical morbidity and costs, sling procedures have been proposed. the authors have developed a new transobturator male sling procedure and report their results after one-year experience. materials and methods: a prospective multicenter study was conducted in 50 patients with minor or moderate post-prostatectomy incontinence. evaluation of toms？ two arms bulbar sling was based on clinical form assessment, the international consultation on incontinence questionnaire (iciq) and short-form (sf) 36 questionnaire pre and postoperatively and at 3, 6, 9 and 12 months. results: the surgical procedure was considered easy to perform and no post-surgery complication was reported except for one retention. the median number of pads per day decreased significantly from 2 pads before surgery (95% ci: 2 - 3) to 1 during the follow-up period (95% ci: 0 - 2 at 360 days), and at 3 months patients using none or one pad per day were 30% and 32% respectively. the sf 36 continence and quality of life score improved from a median of 100 (95% ci: 83 - 133) to 300 (95% ci: 167 - 375), and the median iciq incontinence and quality of life score decreased from 15 (95% ci: 14 - 16) to 8 (95% ci: 5 - 12) one year after surgery. conclusion: the transobturator perineal male sling toms？ is an attractive simple sling technique for moderate or minor post-prostatectomy stress incontinence and offers an improvement in the quality of life.