***TASK*** the task is to summarize an input biomedical literature in six sentences 
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    ***OUTPUT*** the output is the summary of an input biomedical literature in six sentences 
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    Input: AIMS To review the patient choice , clinical outcomes and satisfaction rate between adjustable and non-adjustable male sling ( MS )  with a minimum follow up of 24 months . METHODS A prospect i ve review of clinical parameters in all male patients who underwent MS surgery between January 2009 and December 2011 was undertaken . Vali date d instruments were utilized in the follow-up survey . RESULTS A total of 44 MS were inserted with 25 men choosing adjustable Argus ( Promedon , Cordoba , Argentina ) and 19 men received non-adjustable AdVance ( American Medical Systems , Minnetonka , MN ) MS . The mean age and follow-up for men in the Argus group were 65.4 years and 36.2 months , and in AdVance group were 63.8 years and 33.1 months .  Revision surgery was performed in six Argus MS for recurrent urinary incontinence . Social continence ( defined as 0 to 1 urinary pad use ) was achieved in 23 patients ( 92 % ) with Argus MS and 16 patients ( 84 % ) with AdVance MS ( P = 0.45 ) . The overall satisfaction rate on a 5-point scale was 4.5 in Argus and 4.3 in AdVance patients , and there was no significant difference in the PGI-I score between the two groups ( P = 0.36 ) . Kaplan-Meier analysis of urinary continence and patient satisfaction rates were not statistically significant between Argus and AdVance slings ( P = 0.76 and P = 0.38 ) . CONCLUSIONS Given the choice between the two types of MS , more men  chose adjustable Argus over non-adjustable AdVance sling . There was no significant difference in the clinical outcome , social continence and overall patient satisfaction rates between the two types of MS in the short term . Neurourol . Urodynam . 35:482 - 486 , 2016 . © 2015 Wiley Periodicals , OBJECTIVE To evaluate the efficacy and safety of the adjustable suburethral sling Remeex ® in the treatment of male stress urinary incontinence ( SUI ) . PATIENTS AND METHODS Single-center prospect i ve study of patients treated for SUI after radical prostatectomy or transurethral resection of prostate .  The severity of incontinence was evaluated by the number of pads used per day . Success rate , complications and number of adjustments were studied . RESULTS From February 2011 to May 2015 , Remeex ® was implanted in 25 patients .  The average preoperative number of pads used per day was 3,8 ( ±1,8 ) . Sling tension has been adjusted the day after surgery in all patients . Mean follow-up was 31 months ( ±15 ) . During follow-up , 6 patients did not need any readjustment ( 24 % ) and 15 patients ( 60 % ) had to be readjusted . One Remeex system had to be completely removed because of a sub-occlusive syndrome . Three patients had early infection requiring partial system removal ( Varitensor ) . At the end of follow-up , 9 patients were cured ( 36 % ) , 9 patients ( 36 % ) were significantly improved and 7 patients ( 28 % ) were not improved . Five patients are waiting for a new readjustment . CONCLUSION In this short series of patients who had prostatic surgery , at mid-term follow-up , the placement of a BSUA-R was associated with an improvement or cure of urinary incontinence symptoms in two-thirds of cases . LEVEL OF EVIDENCE 4 PURPOSE To report long-term results of the Argus T adjustable system for treatment of post-prostatectomy urinary incontinence ( PPI ) . MATERIAL S AND METHODS From October 2007 to August 2008 , 37 patients with PPI were included in a prospect i ve , single-arm , multicenter trial of treatment with the Argus T adjustable system ( Promedon , Argentina ) . Preoperative evaluation included urine culture , urethrocystoscopy , urodynamic testing , 24-h pad weight test ( PWT ) and quality of life question naires . Patients were stratified according to baseline degree of incontinence ( mild-moderate or severe ) . Postoperative evaluation included immediate PWT , quality of life question naires and daily use of pads at 1 , 12 and 30 months . RESULTS AND CONCLUSIONS One patient was lost to follow-up . At the 30-month follow-up , 24/31 patients ( 77 % ) were dry , 3/31 ( 10 % ) improved and 4/31 ( 13 % ) were failures . In particular , in the mild-moderate group , 8/8 ( 100 % ) patients were dry . In the severe group , 20/28 patients ( 71 % ) were dry , 3/28 ( 11 % ) improved and 5/28 ( 18 % ) were failures . Median visual analogue scale ( VAS ) scores dropped from 9 ( 4 - 10 ) to 0.5 ( 0 - 10 ) and International Consultation on Incontinence Question naire Short Form scores from ( ICIQ-SF ) 19 ( 12 - 21 ) to 1 ( 0 - 10 ) . Retro grade leak point pressure increased from 18 ( 5 - 29 ) to 35 ( 22 - 45 ) cm H2O after intraoperative adjustment . Complications included immediate postoperative infection in 2/36 patients ( 6 % ) and transient inguinal and /or perineal pain in 22/36 patients ( 61 % ) . Argus T has a long-term high success rate ( 86 % cure + improvement at the 30-month follow-up ) . Good outcomes were achieved even in severe incontinence cases and maintained for over 30 months PURPOSE We report on our initial experience in terms of efficacy and safety with a new , self-anchoring adjustable transobturator male system ( A.M.I. ® ATOMS System ) for the treatment of male stress urinary incontinence after prostate surgery . MATERIAL S AND METHODS In this prospect i ve , nonr and omized single center study conducted between March and December 2009 , patients with stress urinary incontinence secondary to prostatic surgery were treated with the ATOMS device . Urethroscopy , filling and voiding cystometry were performed preoperatively for all patients . In addition , incontinence symptoms were assessed , and a physical examination , 24-hour  pad test  and 24-hour pad count  were performed before and after surgery . RESULTS A total of 38 patients were included in the study ( 36 after radical prostatectomy , 2 after benign prostatic hyperplasia surgery ) .  No intraoperative complications occurred . Mean number of adjustments during followup was 3.97 ( range 0 to 9 ) . At a mean followup of 16.9 months ( range 13 to 21 ) the overall success rate was 84.2 % . Of the successful cases 60.5 % were considered dry ( 0 to 1 pad and less than 15 ml/24-hour pad test ) and 23.7 % improved ( more than 1 pad per 24 hours but more than 50 % decrease in pad use and less than 100 ml per 24-hour pad test ) . In 15.8 % of the patients the treatment was considered to have failed ( more than 2 pads daily and greater than 100 ml on 24-hour pad test ) . CONCLUSIONS The treatment of male stress urinary incontinence with the ATOMS is safe and effective . It is an excellent first or second line treatment for mild to moderate male stress urinary incontinence , even after external irradiation . The option of long-term , minimally invasive adjustment to respond to patient needs is a significant advantage of this new implant AIMS We explored re- interventions and short and long term adverse events associated with procedures for male incontinence among Medicare beneficiaries . METHODS All inpatient and outpatient cl aims for a simple r and om sample of Medicare beneficiaries for 2000 - 2011 were queried to identify patients of interest . All male patients with an International Classification of Diseases , 9th Edition ( ICD-9 ) diagnosis code for stress incontinence or mixed incontinence were included .  Artificial urinary sphincter recipients , patients who underwent a sling operation and those receiving an injection of a bulking agent were identified with Current Procedure Terminology ( CPT-4 ) and ICD-9 Procedure Codes . RESULTS The entire cohort of 1,246 patients were operated on between 2001 and 2011 . 34.9 % of them received an  artificial urinary sphincter ( AUS )  , 28.7 % with a bulking agent , and 36.4 % with a sling . There were no statistically significant differences in demographics or comorbidities between the treatment groups , except that more sling patients were obese ( P = 0.006 ) and fewer bulk patients had diabetes ( P = 0.007 ) . There are , however , significant changes in procedures selected over time ( P < 0.001 ) . In the first year and over the entire follow-up after surgery , patients treated with bulking agents had the most subsequent interventions ( 40.1 % and 52.9 % ) , followed by sling ( 10.4 % and 15.5 % ) , and AUS ( 2.3 % and 20 % ) ( P < 0.001 ) . Post-operative and 90 day complications were low . CONCLUSIONS All three treatments seem to be safe among Medicare beneficiaries with multiple comorbidities . The urological , infectious , and neurological complication occurrences were low PURPOSE Many investigators have used the number of pads to determine the severity of post-prostatectomy incontinence and yet the accuracy of this tool remains unproven . We determined whether the patient perception of pad use and urine loss reflects actual urine loss . We also identified a quality of life measure that distinguishes patients by severity of incontinence . MATERIAL S AND METHODS We prospect ively enrolled 235 men from a total of 18 sites 6 months or more after radical prostatectomy who had incontinence requiring protection . Patients completed a question naire on the perception of  pad number , size and wetness  , a quality of life question , several st and ardized incontinence question naires and a 24-hour pad test that assessed pad number , size and weight . SPSS ® was used for statistical analysis . RESULTS Perception of the number of pads used closely agreed with the number of pads collected during a 24-hour pad test . Perceived and actual pad size had excellent concordance ( 76 % , p < 0.001 ) . Patients with wet and soaked pads had statistically and clinical ly significantly different pad weights that were uniquely different from each other and from those of patients who were almost dry and slightly wet . Response to the quality of life question separated the men into 4 statistically significantly different groups based on mean 24-hour pad weight . CONCLUSIONS Patients accurately described the number , size and degree of wetness of pads collected during a 24-hour pad test . These values correlated well with actual urine loss . The single question , " To what extent does urine loss affect your quality of life ? " separated men into distinct categories PURPOSE We prospect ively assessed the role of nerve sparing surgery on urinary continence after open radical retropubic prostatectomy . MATERIAL S AND METHODS We evaluated a consecutive series of 536 patients who underwent open radical retropubic prostatectomy with attempted bilateral , unilateral or no nerve sparing , as defined by the surgeon , without prior radiotherapy at a minimum followup of 1 year with documented assessment of urinary continence status . Because outlet obstruction may influence continence rates , its incidence and management was also evaluated . RESULTS One year after surgery 505 of 536 patients ( 94.2 % ) were continent , 27 ( 5 % ) had grade I stress incontinence and 4 ( 0.8 % ) had grade II stress incontinence . Incontinence was found in 1 of 75 ( 1.3 % ) , 11 of 322 ( 3.4 % ) and 19 of 139 patients ( 13.7 % ) with attempted bilateral , attempted unilateral and without attempted nerve sparing , respectively . The proportional differences were highly significant , favoring a nerve sparing technique ( p < 0.0001 ) . On multiple logistic regression analysis attempted nerve sparing was the only statistically significant factor influencing urinary continence after open radical retropubic prostatectomy ( OR 4.77 , 95 % CI 2.18 to 10.44 , p = 0.0001 ) . Outlet obstruction at the anastomotic site in 33 of the 536 men ( 6.2 % ) developed at a median of 8 weeks ( IQR 4 to 12 ) and was managed by dilation or an endoscopic procedure . CONCLUSIONS The incidence of incontinence after open radical retropubic prostatectomy  is low and continence is highly associated with a nerve sparing technique . Therefore , nerve sparing should be attempted in all patients if the principles of oncological surgery are not compromised ABSTRACT Objective To compare the results of two slings , Argus T ® and Advance ® , for the treatment of postprostatectomy urinary incontinence ( PPUI ) . Material and Methods : From December 2010 to December 2011 , 22 patients with PPUI were r and omized as follows : 1 
    Output:
    
Evidence of low quality indicates that adjustable slings are effective for treating post-prostatectomy urinary incontinence , with frequency of adverse events similar to the surgical option considered gold st and ard ( the artificial urinary sphincter implant )