Therefore, it can be stated that MUI with

predominance of the stress component may be successfully treated with the TVT-O procedure. Postprostatectomy incontinence (PPI) remains a common problem after radical surgery #see more randurls[1|1|,|CHEM1|]# for prostate cancer. In a study by Comiter and associates15 from three US centers, it was demonstrated that the new quadratic Virtue® sling Inhibitors,research,lifescience,medical (Coloplast USA, Minneapolis, MN) shows good results compared with common pure prepubic (PP) and transobturator slings. The main point of interest in this study was the resistance of the sling to leakage, measured by the retrograde leak point pressure (RLPP) during different intraoperative key fixation steps. A total of 16 consecutive men with PPI underwent the Virtue sling technique and their RLPP was evaluated by perfusion sphincterometry at baseline and during surgery. After a baseline value of 26.4 ± 9.1 cm, the step Inhibitors,research,lifescience,medical of TO fixation let the mean RLPP increase to 45.9 ± 7.0 cm water. After the next surgical step (PP tensioning), the mean RLPP increased to 59.9 ± 12.1 cm and finally to 68.4 ± 6.4 Inhibitors,research,lifescience,medical cm water after the final PP fixation step. The authors concluded that different components of

the quadratic fixation of the Virtue sling are contributing to the increasing urethral resistance. Generally, this new quadratic fixation technique appears to have a greater ability to provide urethral compression. Finally, we would like to discuss the study by Chartier-Kastler

and colleagues,16 who evaluated the impact of urisheaths (type: Conveen® Optima; Coloplast USA) versus absorbent products (diapers) on QoL. This randomized, controlled, crossover, multicenter trial included 61 male Inhibitors,research,lifescience,medical patients with stable, moderate, or heavy urinary incontinence. Both leakage diaries and different types of questionnaires were used to assess the current QoL of the patients enrolled. Results demonstrated that questionnaires were scored lower with urisheaths and indicated an improvement in QoL for “limitations of daily Inhibitors,research,lifescience,medical activities” (P = .01) and “impact of incontinence” (P < .05). Approximately 69% of the patients preferred urisheaths, which were also scored significantly higher for efficacy, self-image, odor management, discretion, and skin integrity. Therefore, urisheaths seem to have a positive impact on the QoL and may be recommended in preference to absorbent products in incontinent male patients. [Reviewed by Alex Farr, MD, Sabina Sevcenco, MD, and Bob Djavan, MD, PhD] Main STK38 Points Results of the Krimpen study showed that the prevalence of nocturia is high, but also highly fluctuant. Patients with higher American Urological Association symptom and bother scores are more likely to fail medical treatment of benign prostatic hyperplasia (BPH). Once-daily tadalafil, 5 mg, for 12 weeks demonstrated efficacy in patients with both erectile dysfunction and lower urinary tract symptoms (LUTS)/BPH.